Irene Gaz Bushno, MPT | |
253 Foxcroft Dr E, Palm Harbor, FL 34683-5612 | |
(407) 376-2699 | |
Not Available |
Full Name | Irene Gaz Bushno |
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Gender | Female |
Speciality | Physical Therapist |
Location | 253 Foxcroft Dr E, Palm Harbor, Florida |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1548501729 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
225100000X | Physical Therapist | PT 20178 (Florida) | Primary |
Provider Name | Legacy Healthcare Services Inc |
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Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
Provider Identifiers | NPI Number: 1336535988 PECOS PAC ID: 2163339722 Enrollment ID: O20150805009289 |
Mailing Address | Practice Location Address |
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Irene Gaz Bushno, MPT 253 Foxcroft Dr E, Palm Harbor, FL 34683-5612 Ph: (407) 376-2699 | Irene Gaz Bushno, MPT 253 Foxcroft Dr E, Palm Harbor, FL 34683-5612 Ph: (407) 376-2699 |
Michael Desimone, Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 35095 Us Highway 19 N Ste 101, Palm Harbor, FL 34684 Phone: 727-475-5540 | |
Peter T Arcuri, PT/DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 3850 Tampa Rd, Palm Harbor, FL 34684 Phone: 813-610-3961 Fax: 813-963-3654 | |
Mrs. Alysha Nicole Monduori, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 3890 Tampa Rd Ste 303, Palm Harbor, FL 34684 Phone: 727-787-5577 Fax: 727-781-7757 | |
Ms. Judith M Tommell, MPT Physical Therapist Medicare: Medicare Enrolled Practice Location: 4168 Woodlands Pkwy, Suite A, Palm Harbor, FL 34685 Phone: 727-767-0700 | |
Maitlin Grimes, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 3825 Countryside Blvd N, Palm Harbor, FL 34684 Phone: 727-784-2848 | |
Dr. Terri A Graffeo, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 3850 Tampa Rd, Bldg A, Suite 200, Palm Harbor, FL 34684 Phone: 727-786-5482 Fax: 727-786-5595 | |
Mrs. Brooke Aleah Ianiero, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 3488 E Lake Rd Ste 302, Palm Harbor, FL 34685 Phone: 727-786-1996 |