Dr Nicole Evanosky, PT, DPT | |
5 Jacquelyn Ln, Dallas, PA 18612-9107 | |
(570) 574-1930 | |
Not Available |
Full Name | Dr Nicole Evanosky |
---|---|
Gender | Female |
Speciality | Physical Therapy |
Experience | 14 Years |
Location | 5 Jacquelyn Ln, Dallas, Pennsylvania |
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 |
---|---|---|---|
1093489668 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
225100000X | Physical Therapist | PT012689L (Pennsylvania) | Primary |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Cip Rehabilitation Inc | 4789932104 | 29 |
Provider Name | Cip Rehabilitation Inc |
---|---|
Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
Provider Identifiers | NPI Number: 1669963039 PECOS PAC ID: 4789932104 Enrollment ID: O20180801002322 |
Mailing Address | Practice Location Address |
---|---|
Dr Nicole Evanosky, PT, DPT 5 Jacquelyn Ln, Dallas, PA 18612-9107 Ph: (570) 574-1930 | Dr Nicole Evanosky, PT, DPT 5 Jacquelyn Ln, Dallas, PA 18612-9107 Ph: (570) 574-1930 |
Emily Hammond, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 301 Lake St, Dallas, PA 18612 Phone: 607-675-8600 | |
Dana Ann Menzel, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 55 W Center Hill Rd, Dallas, PA 18612 Phone: 570-675-8600 | |
Kristina Mary Ruby, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 301 Lake St, Dallas, PA 18612 Phone: 570-266-2920 | |
Ms. Rebecca Ann Yurko, MPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 26 Main St, Gem-riverside Rehab, Dallas, PA 18612 Phone: 570-674-2659 Fax: 570-675-8980 | |
Ms. Mary Lou Williams, MS/RPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 5 Pioneer Ave, Dallas, PA 18612 Phone: 570-262-9836 | |
Mrs. Jane Elizabeth Ketchner, L.P.T. Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 301 Lake St, Dallas, PA 18612 Phone: 579-675-9588 |