Johnathan Cicchese, DPT | |
1747 Beam Ave, Suite Number 100, Maplewood, MN 55109-1128 | |
(651) 326-5569 | |
Not Available |
Full Name | Johnathan Cicchese |
---|---|
Gender | Male |
Speciality | Physical Therapy |
Experience | 9 Years |
Location | 1747 Beam Ave, Maplewood, Minnesota |
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 |
---|---|---|---|
1073980793 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
225100000X | Physical Therapist | 10069 (Minnesota) | Primary |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Healtheast Outpatient Services Llc | 0941447304 | 46 |
Provider Name | Healtheast Outpatient Services Llc |
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Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
Provider Identifiers | NPI Number: 1225382526 PECOS PAC ID: 0941447304 Enrollment ID: O20130503000040 |
Mailing Address | Practice Location Address |
---|---|
Johnathan Cicchese, DPT 2029 Henry St N, North Saint Paul, MN 55109-4114 Ph: () - | Johnathan Cicchese, DPT 1747 Beam Ave, Suite Number 100, Maplewood, MN 55109-1128 Ph: (651) 326-5569 |
Annaliese P Miller, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 1570 Beam Ave Ste 200, Maplewood, MN 55109 Phone: 651-232-7820 | |
Ms. Jacqueline May-ly Vo, PT, DPT Physical Therapist Medicare: Medicare Enrolled Practice Location: 1570 Beam Ave Ste 200, Maplewood, MN 55109 Phone: 651-232-7820 | |
Alisse Zignego, Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 2945 Hazelwood St Ste 320, Maplewood, MN 55109 Phone: 612-273-6228 | |
Dr. Ryan P Tully, D.P.T Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1655 Beam Ave, Maplewood, MN 55109 Phone: 231-846-8766 | |
Elise Vanett Mackenzie, P.T. Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1570 Beam Ave, Maplewood, MN 55109 Phone: 651-326-7940 | |
Gayla Marie Pleggenkuhle, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1655 Beam Ave, Suite 309, Maplewood, MN 55109 Phone: 651-779-6543 |