Dr Devlin Alexander Dizacomo, DPT | |
81557 Dr Carreon Blvd Ste C4, Indio, CA 92201-5562 | |
(760) 347-6195 | |
(760) 347-2849 |
Full Name | Dr Devlin Alexander Dizacomo |
---|---|
Gender | Male |
Speciality | Physical Therapy |
Experience | 6 Years |
Location | 81557 Dr Carreon Blvd Ste C4, Indio, 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 |
---|---|---|---|
1023593902 | NPI | - | NPPES |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Beaufort Orthopaedic Sports And Spine Center Llc | 1355301771 | 40 |
Provider Name | Beaufort Orthopaedic Sports And Spine Center Llc |
---|---|
Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1982765160 PECOS PAC ID: 1355301771 Enrollment ID: O20041012000064 |
Mailing Address | Practice Location Address |
---|---|
Dr Devlin Alexander Dizacomo, DPT 408 Higuera St Ste 200, San Luis Obispo, CA 93401-6135 Ph: (805) 788-0805 | Dr Devlin Alexander Dizacomo, DPT 81557 Dr Carreon Blvd Ste C4, Indio, CA 92201-5562 Ph: (760) 347-6195 |
Dr. Jonathan Michael Elbert, D.P.T. Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 80629 Declaration Ave, Indio, CA 92201 Phone: 515-341-9738 | |
Jasmine Mireya Gongora, DPT Physical Therapist Medicare: Medicare Enrolled Practice Location: 81557 Dr Carreon Blvd Ste C4, Indio, CA 92201 Phone: 760-347-6195 Fax: 760-347-2849 | |
Leo J King, PT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 82013 Dr Carreon Blvd, Suite I, Indio, CA 92201 Phone: 760-347-6195 Fax: 760-347-2849 | |
Jillian Kitterick, PT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 81557 Dr Carreon Blvd Ste C4, Indio, CA 92201 Phone: 760-347-6195 Fax: 760-347-2849 | |
Ian Halderman, PT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 81557 Dr Carreon Blvd Ste C4, Indio, CA 92201 Phone: 760-347-6195 Fax: 760-347-2849 | |
Sara M Schuldt, PT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 81557 Dr Carreon Blvd Ste C4, Indio, CA 92201 Phone: 760-347-6195 Fax: 760-347-2849 |