Eric Fontaine, | |
1310 Middleford Rd, Suite 101, Seaford, DE 19973-3670 | |
(302) 629-5700 | |
(302) 629-6001 |
Full Name | Eric Fontaine |
---|---|
Gender | Male |
Speciality | Physical Therapist |
Location | 1310 Middleford Rd, Seaford, Delaware |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1407275530 | NPI | - | NPPES |
K7520021 | Other | DE | CAREFIRST |
P01401462 | Other | DE | RR MEDICARE |
1407275530 | Medicaid | DE | |
346204YBWE | Other | DE | MEDICARE |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
225100000X | Physical Therapist | J1-0003121 (Delaware) | Primary |
Provider Name | H2 Rehabilitation Services Of Pennsylvania Llc |
---|---|
Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
Provider Identifiers | NPI Number: 1073583860 PECOS PAC ID: 5799724001 Enrollment ID: O20050427000025 |
Mailing Address | Practice Location Address |
---|---|
Eric Fontaine, 1310 Middleford Rd, Suite 101, Seaford, DE 19973-3670 Ph: (302) 629-5700 | Eric Fontaine, 1310 Middleford Rd, Suite 101, Seaford, DE 19973-3670 Ph: (302) 629-5700 |
Richard Sullivan, MSPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 22830 & 22832 Sussex Highway, Suite 13 & 14, Seaford, DE 19973 Phone: 302-536-5562 Fax: 302-628-5313 | |
Ms. Hannah Rae Porter, PT, DPT Physical Therapist Medicare: Medicare Enrolled Practice Location: 808 Middleford Rd, Seaford, DE 19973 Phone: 302-629-4024 Fax: 302-629-6371 | |
Nicholas Elliot Galeone, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 15 Fallon Ave, Seaford, DE 19973 Phone: 302-536-1774 Fax: 302-536-7096 | |
Clement Raymond Tajon, PT, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 801 Middleford Rd, Seaford, DE 19973 Phone: 302-629-6611 | |
Ekta Sharma, Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 715 King Street, Lofland Park Center, Seaford, DE 19973 Phone: 302-628-3000 | |
Mr. Percival Corpuz Jr., Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 715 E King St, Seaford, DE 19973 Phone: 610-925-4148 Fax: 610-347-4948 | |
Genevieve Luzano, Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 1310 Middleford Rd Ste 101, Seaford, DE 19973 Phone: 919-258-2714 Fax: 410-648-4878 |