Edward C Desmet Jr, MSPT | |
1564 Route 507, Suite C, Greentown, PA 18426-4502 | |
(570) 676-0700 | |
(570) 676-0766 |
Full Name | Edward C Desmet Jr |
---|---|
Gender | Male |
Speciality | Physical Therapy |
Experience | 27 Years |
Location | 1564 Route 507, Greentown, Pennsylvania |
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 |
---|---|---|---|
1093797797 | NPI | - | NPPES |
812635 | Other | PA | FIRST PRIORITY |
2495044 | Other | PA | AETNA |
171758 | Other | PA | BLUE SHIELD |
0066515000 | Other | PA | INDEPENDENCE BLUE SHIELD |
50017318 | Other | PA | CAPITAL BLUE CROSS |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
225100000X | Physical Therapist | PT-011714L (Pennsylvania) | Primary |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Pivot Physical Therapy Of Pennsylvania Llc | 4981971843 | 68 |
Provider Name | Pivot Physical Therapy Of Pennsylvania Llc |
---|---|
Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1881132488 PECOS PAC ID: 4981971843 Enrollment ID: O20170515000834 |
Mailing Address | Practice Location Address |
---|---|
Edward C Desmet Jr, MSPT Rr 1 Box 140c, Towanda, PA 18848-9787 Ph: (570) 265-1111 | Edward C Desmet Jr, MSPT 1564 Route 507, Suite C, Greentown, PA 18426-4502 Ph: (570) 676-0700 |
Aaron John Niznick, DPT, ATC Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1564 Route 507, Suite C, Greentown, PA 18426 Phone: 570-676-0700 Fax: 570-676-0766 | |
Bethany Anne Jutzy, Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 1564 Route 507 Ste C, Greentown, PA 18426 Phone: 570-676-0700 | |
Heather Gaydos, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 1564 Route 507 Ste C, Greentown, PA 18426 Phone: 570-676-0700 Fax: 570-676-0766 | |
Dr. Caitlin Gregory, DPT Physical Therapist Medicare: Medicare Enrolled Practice Location: 1564 Route 507 Ste C, Greentown, PA 18426 Phone: 570-676-0700 | |
Melissa M Gavin, MSPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1564 Route 507, Suite C, Greentown, PA 18426 Phone: 570-676-0700 Fax: 570-676-0766 | |
Bella Langan, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 1564 Route 507, Suite C, Greentown, PA 18426 Phone: 570-676-0700 Fax: 570-676-0766 |