Eric L Wessel, PT | |
2136 Vadalabene Dr, Maryville, IL 62062-5632 | |
(618) 288-4677 | |
(618) 288-4699 |
Full Name | Eric L Wessel |
---|---|
Gender | Male |
Speciality | Physical Therapist |
Location | 2136 Vadalabene Dr, Maryville, Illinois |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1639175086 | NPI | - | NPPES |
P00099811 | Other | IL | MEDICARE RAILROAD |
539018 | Other | IL | HEALTHLINK |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
225100000X | Physical Therapist | 070012251 (Illinois) | Primary |
Provider Name | Powerback Rehabilitation Llc |
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Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
Provider Identifiers | NPI Number: 1982018362 PECOS PAC ID: 2365359932 Enrollment ID: O20141024000284 |
Mailing Address | Practice Location Address |
---|---|
Eric L Wessel, PT 15 Apex Dr, Highland, IL 62249-1282 Ph: (618) 651-0444 | Eric L Wessel, PT 2136 Vadalabene Dr, Maryville, IL 62062-5632 Ph: (618) 288-4677 |
Mary Vaughn, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 6800 State Route 162, Maryville, IL 62062 Phone: 618-288-5711 Fax: 618-288-4088 | |
Kristin Ann Lowe, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 6800 State Route 162, Maryville, IL 62062 Phone: 618-391-5624 Fax: 618-288-4088 | |
Anna Mcnamara, PT, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 6800 State Route 162, Maryville, IL 62062 Phone: 618-288-5436 Fax: 618-288-5567 | |
Diane A. Richter, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 6800 State Route 162, Maryville, IL 62062 Phone: 618-288-5711 Fax: 618-288-4088 | |
Sarah L. Helle, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 6800 State Route 162, Maryville, IL 62062 Phone: 618-288-5711 Fax: 618-288-4088 | |
Federico Morta David, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 2928 N. Center St., Maryville, IL 62062 Phone: 618-288-5711 | |
Alisha Wilken, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 6800 State Route 162, Maryville, IL 62062 Phone: 618-288-5711 Fax: 618-288-4088 |