Dr Kevin William Wild, DPT | |
88 Rowland Way Ste 250, Novato, CA 94945-5062 | |
(415) 898-1311 | |
(415) 897-0741 |
Full Name | Dr Kevin William Wild |
---|---|
Gender | Male |
Speciality | Physical Therapy |
Experience | 8 Years |
Location | 88 Rowland Way Ste 250, Novato, 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 |
---|---|---|---|
1710431424 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
225100000X | Physical Therapist | PT291755 (California) | Primary |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Grove Andersen Ghiringhelli Physical Therapy A Professional Co | 3870481203 | 8 |
Provider Name | Grove Andersen Ghiringhelli Physical Therapy A Professional Co |
---|---|
Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
Provider Identifiers | NPI Number: 1053393538 PECOS PAC ID: 3870481203 Enrollment ID: O20040308001025 |
Mailing Address | Practice Location Address |
---|---|
Dr Kevin William Wild, DPT 123 Benson Ave, Vallejo, CA 94590-3024 Ph: (650) 922-5243 | Dr Kevin William Wild, DPT 88 Rowland Way Ste 250, Novato, CA 94945-5062 Ph: (415) 898-1311 |
Ole Christian Borgesen, PT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 165 Rowland Way, Suite 101, Novato, CA 94945 Phone: 415-898-1311 Fax: 415-897-0741 | |
Jaclynn Mcneill, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 607 Louise Ave, Novato, CA 94947 Phone: 415-652-8950 | |
Miss Ping Wu, P.T. Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 7200 Redwood Blvd, Suite 200, Novato, CA 94945 Phone: 415-847-2333 | |
Ms. Lisa Dian Paradiso, MPT Physical Therapist Medicare: Medicare Enrolled Practice Location: 165 Rowland Way, Suite 101, Novato, CA 94945 Phone: 415-898-1311 | |
Novato Back Care And Sports Physical Therapy Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 165 Rowland Way, Suite 101, Novato, CA 94945 Phone: 415-898-1311 Fax: 415-897-0741 | |
Lorraine Andrews Roller, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 7200 Redwood Blvd, #200, Novato, CA 94945 Phone: 415-893-4143 | |
Starburst Therapy Inc Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 18 Commercial Blvd, Novato, CA 94949 Phone: 415-320-1329 Fax: 415-729-1780 |