Lucas Gagnon, | |
94 Main St Unit 2, Gorham, ME 04038-1340 | |
(207) 839-5860 | |
Not Available |
Full Name | Lucas Gagnon |
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Gender | Male |
Speciality | Physical Therapist |
Location | 94 Main St Unit 2, Gorham, Maine |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1346968732 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
225100000X | Physical Therapist | PT6326 (Maine) | Primary |
Provider Name | Back In Motion Physical Therapy Llc |
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Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
Provider Identifiers | NPI Number: 1821165960 PECOS PAC ID: 7416926704 Enrollment ID: O20041004000108 |
Mailing Address | Practice Location Address |
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Lucas Gagnon, 625 Kenmoor Ave Se Ste 100, Grand Rapids, MI 49546-2395 Ph: () - | Lucas Gagnon, 94 Main St Unit 2, Gorham, ME 04038-1340 Ph: (207) 839-5860 |
Christopher Michael Eidson, DPT Physical Therapist Medicare: Medicare Enrolled Practice Location: 347 Main St Unit 1, Gorham, ME 04038 Phone: 207-839-9090 Fax: 207-839-9091 | |
Jennifer Lynne Danley, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 381 Main St Ste 1, Gorham, ME 04038 Phone: 207-839-9090 Fax: 207-839-9091 | |
Megan Helfrich, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 50 New Portland Rd, Gorham, ME 04038 Phone: 207-839-5757 | |
Courtney Doyon, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 94 Main St, Gorham, ME 04038 Phone: 207-839-5860 Fax: 207-839-2499 | |
Laura J. Peaslee, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 94 Main St, Gorham, ME 04038 Phone: 207-839-5860 Fax: 207-839-2499 | |
Elevate Physical Therapy Llc Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 14 Vista Dr, Ste 100, Gorham, ME 04038 Phone: 207-222-8055 Fax: 207-222-8053 | |
Dawn Nadeau, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 50 New Portland Rd, Gorham, ME 04038 Phone: 207-839-5757 |