Justin Thomas Kane, PT | |
1172 W Hayden Ave, Hayden, ID 83835-8700 | |
(208) 762-3332 | |
(208) 762-4268 |
Full Name | Justin Thomas Kane |
---|---|
Gender | Male |
Speciality | Physical Therapy |
Experience | 32 Years |
Location | 1172 W Hayden Ave, Hayden, Idaho |
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 |
---|---|---|---|
1114957073 | NPI | - | NPPES |
0000100007419 | Other | ID | BLUE SHIELD |
0100472 | Other | WA | WASHINGTON LABOR & INDUST |
004401801 | Medicaid | ID | |
T5501 | Other | ID | BLUE CROSS |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
225100000X | Physical Therapist | PT-700 (Idaho) | Primary |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Shellman Inc Pa | 4981592938 | 33 |
Shellman Inc Pa | 4981592938 | 33 |
Provider Name | Shellman Inc Pa |
---|---|
Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1326050253 PECOS PAC ID: 4981592938 Enrollment ID: O20040310000340 |
Mailing Address | Practice Location Address |
---|---|
Justin Thomas Kane, PT 1917 N Lakewood Dr, Coeur D Alene, ID 83814-2634 Ph: (208) 664-8194 | Justin Thomas Kane, PT 1172 W Hayden Ave, Hayden, ID 83835-8700 Ph: (208) 762-3332 |
Laura Handyside Steininger, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 8382 N Wayne Dr Ste 204, Hayden, ID 83835 Phone: 208-719-9071 Fax: 208-719-9073 | |
Autumn Grove, Physical Therapist Medicare: Medicare Enrolled Practice Location: 8238 N Government Way, Hayden, ID 83835 Phone: 208-762-2100 Fax: 208-762-2101 | |
Erica Lea Chvilicek, P.T. Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 8257 N Cornerstone Dr, Hayden, ID 83835 Phone: 208-762-0881 | |
Jeremy Albert Dye, M.P.T. Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 1172 W Hayden Ave, Hayden, ID 83835 Phone: 208-773-8111 Fax: 208-773-8385 | |
Teri Ann Venera, MPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 8382 N Wayne Dr, Hayden, ID 83835 Phone: 208-758-0484 Fax: 208-485-4781 | |
Adam Michael Borg, PT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 1172 W Hayden Ave, Hayden, ID 83835 Phone: 208-762-3332 Fax: 208-762-4268 |