Derrick Wayne Raburn, PT | |
78078 Country Club Dr, Suite 205, Bermuda Dunes, CA 92203-8173 | |
(760) 345-9934 | |
(760) 345-3086 |
Full Name | Derrick Wayne Raburn |
---|---|
Gender | Male |
Speciality | Physical Therapy |
Experience | 31 Years |
Location | 78078 Country Club Dr, Bermuda Dunes, California |
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 |
---|---|---|---|
1831136308 | NPI | - | NPPES |
0PT202413 | Other | CA | PPIN - MEDICARE # |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
225100000X | Physical Therapist | PT20241 (California) | Primary |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Bodyworks Physiotherapy Clinic | 5890750855 | 2 |
Provider Name | Bodyworks Physiotherapy Clinic |
---|---|
Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
Provider Identifiers | NPI Number: 1487706586 PECOS PAC ID: 5890750855 Enrollment ID: O20041201000641 |
Mailing Address | Practice Location Address |
---|---|
Derrick Wayne Raburn, PT 78078 Country Club Dr, Suite 205, Bermuda Dunes, CA 92203-8173 Ph: (760) 345-9934 | Derrick Wayne Raburn, PT 78078 Country Club Dr, Suite 205, Bermuda Dunes, CA 92203-8173 Ph: (760) 345-9934 |
Mrs. Leslie Yareli Humphrey, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 78078 Country Club Dr Ste 205, Bermuda Dunes, CA 92203 Phone: 760-345-9934 | |
Kimberly Christina Snyder, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 78078 Country Club Dr, Suite 205, Bermuda Dunes, CA 92203 Phone: 760-345-9934 Fax: 760-345-3086 | |
Mrs. Diana Louise Honsa, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 78078 Country Club Dr, Suite 205, Bermuda Dunes, CA 92203 Phone: 760-345-9934 | |
Ms. Michelle Alwes, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 78078 Country Club Dr, Suite 205, Bermuda Dunes, CA 92203 Phone: 760-345-9934 | |
Dr. Craig Daniel Pillow, DPT Physical Therapist Medicare: Medicare Enrolled Practice Location: 78078 Country Club Dr Ste 205, Bermuda Dunes, CA 92203 Phone: 760-345-9934 Fax: 760-345-3086 | |
Dr. Neele Holzenkaempfer, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 78078 Country Club Dr Ste 205, Bermuda Dunes, CA 92203 Phone: 760-345-9934 | |
Alexei Lyapustin, PT, DPT Physical Therapist Medicare: Medicare Enrolled Practice Location: 78078 Country Club Dr, Suite 205, Bermuda Dunes, CA 92203 Phone: 760-345-9934 Fax: 760-345-3086 |