Eric C Victor, PT | |
425 N Main St, Prineville, OR 97754 | |
(541) 416-7476 | |
(541) 416-7478 |
Full Name | Eric C Victor |
---|---|
Gender | Male |
Speciality | Physical Therapist |
Location | 425 N Main St, Prineville, Oregon |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1467598581 | NPI | - | NPPES |
229143 | Medicaid | OR | |
159333011 | Other | OR | BLUE CROSS BLUE SHIELD |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
225100000X | Physical Therapist | 4645 (Oregon) | Primary |
225100000X | Physical Therapist | 1234 (Alaska) | Secondary |
Provider Name | Idaho State University |
---|---|
Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1952474777 PECOS PAC ID: 4688683030 Enrollment ID: O20060412000292 |
Mailing Address | Practice Location Address |
---|---|
Eric C Victor, PT 805 Sw Industrial Way, Suite 3, Bend, OR 97702-1093 Ph: (541) 585-2529 | Eric C Victor, PT 425 N Main St, Prineville, OR 97754 Ph: (541) 416-7476 |
Benchmark Physical Therapy Of Or, Llc Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1595 Ne 3rd St Ste A1, Prineville, OR 97754 Phone: 541-903-5088 Fax: 541-210-9993 | |
Nicole Seal, Physical Therapist Medicare: Medicare Enrolled Practice Location: 1470 Ne 3rd St, Prineville, OR 97754 Phone: 541-447-6846 Fax: 541-447-1243 | |
Austin Harrison Fleming, DPT, PT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 1590 Ne 3rd St Ste B, Prineville, OR 97754 Phone: 541-416-7476 Fax: 541-416-7478 | |
Mr. Kenneth W Smith, P.T. Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1251 Ne Elm St, Ste 2-a, Prineville, OR 97754 Phone: 541-447-6846 Fax: 541-447-1243 | |
Kelsee Sofich, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 1470 Ne 3rd St, Prineville, OR 97754 Phone: 541-447-6846 | |
Prineville Physical Therapy Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1251 Ne Elm St Ste 2a, Prineville, OR 97754 Phone: 541-447-6846 Fax: 541-447-1243 | |
Sarah L Tonna, PT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 425 N Main St, Prineville, OR 97754 Phone: 541-416-7476 Fax: 541-416-7478 |