Kacey D Polanco, MPT | |
910 N Date St, Truth Or Consequences, NM 87901-1748 | |
(575) 894-1828 | |
(575) 894-6873 |
Full Name | Kacey D Polanco |
---|---|
Gender | Female |
Speciality | Physical Therapy |
Experience | 19 Years |
Location | 910 N Date St, Truth Or Consequences, New Mexico |
Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1629185574 | NPI | - | NPPES |
39531864 | Medicaid | NM |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
225100000X | Physical Therapist | 3167 (New Mexico) | Primary |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Hot Springs Physical Therapy Llc | 1658506597 | 2 |
Provider Name | Hot Springs Physical Therapy Llc |
---|---|
Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1467896357 PECOS PAC ID: 1658506597 Enrollment ID: O20131030000646 |
Mailing Address | Practice Location Address |
---|---|
Kacey D Polanco, MPT 910 N Date St, Truth Or Consequences, NM 87901-1748 Ph: (575) 894-1828 | Kacey D Polanco, MPT 910 N Date St, Truth Or Consequences, NM 87901-1748 Ph: (575) 894-1828 |
Jean Mart Tilde Cofino, PT Physical Therapist Medicare: Medicare Enrolled Practice Location: 800 E 9th Ave, Truth Or Consequences, NM 87901 Phone: 575-894-3221 Fax: 575-894-4999 | |
Kim Keeys Jordan, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 800 E 9th Ave, Truth Or Consequences, NM 87901 Phone: 505-743-1213 Fax: 505-743-1263 | |
Hot Springs Physical Therapy, Llc Physical Therapist Medicare: Medicare Enrolled Practice Location: 219 Dr. Hubble Drive, Suite B, Truth Or Consequences, NM 87901 Phone: 505-449-8762 | |
Leslie Diane Boone, MPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 219 Dr. Hubble Drive, Suite B, Truth Or Consequences, NM 87901 Phone: 575-894-0485 Fax: 575-894-0495 | |
Jason Edward Gutierres, PT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 414 Main Street, Truth Or Consequences, NM 87901 Phone: 505-894-7847 Fax: 505-894-7851 |