Macy Marie Basterrechea, DPT | |
10919 Culebra Rd Ste 143, San Antonio, TX 78253-4502 | |
(210) 419-8694 | |
Not Available |
Full Name | Macy Marie Basterrechea |
---|---|
Gender | Female |
Speciality | Physical Therapy |
Experience | 3 Years |
Location | 10919 Culebra Rd Ste 143, San Antonio, Texas |
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 |
---|---|---|---|
1508440116 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
225100000X | Physical Therapist | 1345491 (Texas) | Primary |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
California Luna Care Physical Therapy Pc | 9638427834 | 565 |
Provider Name | California Luna Care Physical Therapy Pc |
---|---|
Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
Provider Identifiers | NPI Number: 1689162166 PECOS PAC ID: 9638427834 Enrollment ID: O20180803002123 |
Mailing Address | Practice Location Address |
---|---|
Macy Marie Basterrechea, DPT Po Box 306393, Nashville, TN 37230-6393 Ph: (615) 373-1350 | Macy Marie Basterrechea, DPT 10919 Culebra Rd Ste 143, San Antonio, TX 78253-4502 Ph: (210) 419-8694 |
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Fnu Praseetha Ullal Kolap, PHYSICAL THERAPIST Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 5211 Fredericksburg Rd Apt 1319, San Antonio, TX 78229 Phone: 708-571-9504 | |
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