| Jeremy Ryan Faust, PHYSICAL THERAPIST | |
|
860 Southampton Rd, Benicia, CA 94510-1907 | |
| (707) 745-6144 | |
| (707) 745-5698 |
| Full Name | Jeremy Ryan Faust |
|---|---|
| Gender | Male |
| Speciality | Physical Therapist In Private Practice |
| Experience | 22 Years |
| Location | 860 Southampton Rd, Benicia, California |
| 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 |
|---|---|---|---|
| 1134102544 | NPI | - | NPPES |
| ZZZ15795Z | Other | CA | MEDICARE GROUP PTAN - VALLEJO |
| ZZZ25256Z | Other | CA | MEDICARE GROUP PTAN - BENICIA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225100000X | Physical Therapist | PT28673 (California) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Grove Andersen Ghiringhelli Physical Therapy A Professional Co | 3870481203 | 7 |
| Provider Name | Grove Andersen Ghiringhelli Physical Therapy A Professional Co |
|---|---|
| Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
| Provider Identifiers | NPI Number: 1053393538 PECOS PAC ID: 3870481203 Enrollment ID: O20040308001025 |
| Mailing Address | Practice Location Address |
|---|---|
| Jeremy Ryan Faust, PHYSICAL THERAPIST 860 Southampton Rd, Benicia, CA 94510 Ph: (707) 745-6144 | Jeremy Ryan Faust, PHYSICAL THERAPIST 860 Southampton Rd, Benicia, CA 94510-1907 Ph: (707) 745-6144 |
Shivani Mehta, M.P.T. Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 560 1st St, Suite D-101, Benicia, CA 94510 Phone: 707-747-9977 | |
Bay Area Physical Therapy Of Benicia Inc Physical Therapist Medicare: Medicare Enrolled Practice Location: 560 1st St, Suite D-101, Benicia, CA 94510 Phone: 707-747-9977 | |
Mrs. Sarah Rosinski, PT, MPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 1300 Southampton Rd, Apt 180, Benicia, CA 94510 Phone: 630-825-5275 | |
Heather Taylor, M.P.T. Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 560 1st St, Suite C-103, Benicia, CA 94510 Phone: 707-747-9977 | |
Mrs. Andrea Markus, MPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 698 Kearney St, Benicia, CA 94510 Phone: 707-815-0826 | |
Russell James Bishop, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 938 Bolton Cir, Benicia, CA 94510 Phone: 805-252-3875 |