Derek R Pequette, PT | |
1275 N Convent St, Suite 3, Bourbonnais, IL 60914-8210 | |
(815) 936-1855 | |
(815) 936-6097 |
Full Name | Derek R Pequette |
---|---|
Gender | Male |
Speciality | Physical Therapy |
Experience | 25 Years |
Location | 1275 N Convent St, Bourbonnais, Illinois |
Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1568561074 | NPI | - | NPPES |
P00886041 | Other | IL | MEDICARE RAILROAD |
P00886041 | Other | IL | RR MEDICARE |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
225100000X | Physical Therapist | 070012002 (Illinois) | Primary |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Three Point Healthcare Llc | 9133484694 | 15 |
Provider Name | Athletic And Therapeutic Institute Of Naperville, Llc |
---|---|
Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
Provider Identifiers | NPI Number: 1023129681 PECOS PAC ID: 8325014020 Enrollment ID: O20040903000494 |
Provider Name | Athletic And Therapeutic Institute Of Bourbonnais, Llc |
---|---|
Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
Provider Identifiers | NPI Number: 1861503542 PECOS PAC ID: 4183692577 Enrollment ID: O20040923000220 |
Provider Name | Three Point Healthcare Llc |
---|---|
Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1124535240 PECOS PAC ID: 9133484694 Enrollment ID: O20180604001868 |
Mailing Address | Practice Location Address |
---|---|
Derek R Pequette, PT 790 Remington Blvd, Bolingbrook, IL 60440-4909 Ph: () - | Derek R Pequette, PT 1275 N Convent St, Suite 3, Bourbonnais, IL 60914-8210 Ph: (815) 936-1855 |
A Step Ahead Pediatric Therapy Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 586 William R Latham Sr Dr Ste 6b, Bourbonnais, IL 60914 Phone: 815-935-0540 | |
Zachary Erb, PT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 110 Mooney Dr, Suite 5, Bourbonnais, IL 60914 Phone: 815-933-7224 Fax: 815-933-7225 | |
Caitlin Renkin, PT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 1275 N Convent St, Bourbonnais, IL 60914 Phone: 815-936-1855 Fax: 815-936-6097 | |
Steven Reiter, D.P.T Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 21 Heritage Dr Ste 101, Bourbonnais, IL 60914 Phone: 815-937-8220 | |
Athletico Physical Therapy Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 215 N Convent St, Ste 6, Bourbonnais, IL 60914 Phone: 815-928-8357 Fax: 815-929-0492 | |
Renee Michelle Spanburg, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 215 N Convent St, Suite 6, Bourbonnais, IL 60914 Phone: 815-928-8357 Fax: 815-929-0492 | |
Diana Lebran, Physical Therapist Medicare: Medicare Enrolled Practice Location: 512 Edgebrook Dr, Bourbonnais, IL 60914 Phone: 815-922-4607 |