Lydia C Radosevich, PT | |
439 Mechem Dr, Ruidoso, NM 88345-6813 | |
(505) 257-1800 | |
(505) 257-2319 |
Full Name | Lydia C Radosevich |
---|---|
Gender | Female |
Speciality | Physical Therapy |
Experience | 44 Years |
Location | 439 Mechem Dr, Ruidoso, 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 |
---|---|---|---|
1144236258 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
225100000X | Physical Therapist | 1781 (New Mexico) | Primary |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Ruidoso Physical Therapy Clinic Inc | 4082667639 | 3 |
Provider Name | Ruidoso Physical Therapy Clinic Inc |
---|---|
Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1265498471 PECOS PAC ID: 4082667639 Enrollment ID: O20050409000000 |
Mailing Address | Practice Location Address |
---|---|
Lydia C Radosevich, PT 439 Mechem Dr., Ruidoso, NM 88345 Ph: (505) 257-1800 | Lydia C Radosevich, PT 439 Mechem Dr, Ruidoso, NM 88345-6813 Ph: (505) 257-1800 |
Mrs. Roberta Renee Regalado, M.P.T. Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 628 Sudderth Dr, Ruidoso, NM 88345 Phone: 575-257-5820 Fax: 575-257-9560 | |
Mr. Ryan David Biricocchi, MPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 147 Mescalero Trl, Ruidoso, NM 88345 Phone: 505-257-5820 Fax: 505-257-9560 | |
Dana M Wade, PT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 1129 Mechem Dr Ste C, Ruidoso, NM 88345 Phone: 575-808-8721 Fax: 575-808-8723 | |
Mr. Ian Christopher Paul, P.T. Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 147 Mescalero Trl, Ruidoso, NM 88345 Phone: 575-257-5820 | |
Marla Loree Wall, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 147 Mescalero Trl, Ruidoso, NM 88345 Phone: 575-257-5820 | |
Ruidoso Physical Therapy Clinic, Inc Physical Therapist Medicare: Medicare Enrolled Practice Location: 439 Mechem Dr, Ruidoso, NM 88345 Phone: 575-257-1800 Fax: 575-257-2319 |