Diane M Lodge, PT | |
950 Travelers Blvd, Summerville, SC 29485-8213 | |
(843) 832-8481 | |
Not Available |
Full Name | Diane M Lodge |
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Gender | Female |
Speciality | Physical Therapy |
Experience | 31 Years |
Location | 950 Travelers Blvd, Summerville, South Carolina |
Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1083712590 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
225100000X | Physical Therapist | 2288 (South Carolina) | Primary |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Elite Integrated Therapy Centers Llc | 3274552716 | 69 |
Provider Name | Elite Integrated Therapy Centers Llc |
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Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
Provider Identifiers | NPI Number: 1184673600 PECOS PAC ID: 3274552716 Enrollment ID: O20051115000119 |
Provider Name | The Weston Group Of South Carolina Inc |
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Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1073957064 PECOS PAC ID: 2062651185 Enrollment ID: O20130621000455 |
Mailing Address | Practice Location Address |
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Diane M Lodge, PT 2222 Sullivan Trl, Easton, PA 18040-7958 Ph: () - | Diane M Lodge, PT 950 Travelers Blvd, Summerville, SC 29485-8213 Ph: (843) 832-8481 |
Haleigh Vaughan, Physical Therapist Medicare: Medicare Enrolled Practice Location: 370 E 5th North St, Summerville, SC 29483 Phone: 843-737-6913 | |
Mrs. Jessica Lee Wooten, P.T. Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 93b Springview Ln, Summerville, SC 29485 Phone: 843-875-4770 | |
Taylor Asher, Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 1718 State Rd Ste 7, Summerville, SC 29486 Phone: 843-303-9418 | |
Donnie Arastus Gay, Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 9512 Dorchester Rd Ste 140, Summerville, SC 29485 Phone: 843-695-7970 Fax: 843-695-7971 | |
Lorenzo Philip Bianco, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 10160 Dorchester Rd, Summerville, SC 29485 Phone: 843-851-5820 | |
Nancy Pritchard Jackson, MPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 950 Travelers Blvd, Summerville, SC 29485 Phone: 843-832-8481 Fax: 843-832-8621 | |
Homegrown Pt Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 211 Squire Pope Rd, Summerville, SC 29486 Phone: 208-613-7361 Fax: 843-892-8444 |