Dylan Fanelli Riedesel, DPT is a
Physical Therapist based in Goliad, Texas. Dylan Fanelli Riedesel is licensed to practice in Texas (license number 127890) and his current practice location is
225 E Ward St, Goliad, Texas. He can be reached at his office (for appointments etc.) via phone at
(361) 645-8902.
NPI number for Dylan Fanelli Riedesel is 1063994242 and his current mailing address is 41 E Grouse Rd, Victoria, Texas. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1063994242.
Healthcare Provider's Profile
| Full Name | Dylan Fanelli Riedesel |
|---|
| Gender | Male |
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| Speciality | Physical Therapist |
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| Location | 225 E Ward St, Goliad, Texas |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1063994242
- Provider Enumeration Date: 09/04/2018
- Last Update Date: 09/04/2018
Medical Identifiers
Medical identifiers for Dylan Fanelli Riedesel such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1063994242 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 225100000X | Physical Therapist | 127890 (Texas) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Dylan Fanelli Riedesel is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Dylan Fanelli Riedesel, DPT
41 E Grouse Rd,
Victoria, TX 77905-0516
Ph: (361) 550-8703 | Dylan Fanelli Riedesel, DPT
225 E Ward St,
Goliad, TX 77963-4006
Ph: (361) 645-8902 |
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