| Marcus Bacon, | |
|
1138 Farmington Ave, Berlin, CT 06037 | |
| (860) 829-5511 | |
| (860) 829-5577 |
| Full Name | Marcus Bacon |
|---|---|
| Gender | Male |
| Speciality | Physical Therapist In Private Practice |
| Experience | 23 Years |
| Location | 1138 Farmington Ave, Berlin, Connecticut |
| 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 |
|---|---|---|---|
| 1821105693 | NPI | - | NPPES |
| 007144 | Other | CT | LICENSE# |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225100000X | Physical Therapist | (* (Not Available)) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Focus Physical Therapy And Sports Medicine Llc | 6800970500 | 7 |
| Provider Name | Focus Physical Therapy & Sports Medicine Llc |
|---|---|
| Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
| Provider Identifiers | NPI Number: 1780868505 PECOS PAC ID: 6800970500 Enrollment ID: O20080219000587 |
| Mailing Address | Practice Location Address |
|---|---|
| Marcus Bacon, 1138 Farmington Ave, P.o. Box 452, Berlin, CT 06037 Ph: (860) 829-5511 | Marcus Bacon, 1138 Farmington Ave, Berlin, CT 06037 Ph: (860) 829-5511 |
David Reindl, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 1138 Farmington Ave, Berlin, CT 06037 Phone: 860-829-5511 | |
Jessica Gibbons, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 28 Peach Tree Ln, Berlin, CT 06037 Phone: 203-312-3939 | |
Central Ct Sports Medicine Center Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 15 Massirio Dr, Berlin, CT 06037 Phone: 860-829-1300 Fax: 860-829-1388 | |
Mr. Leonard Pare, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 15 Massirio Dr, Berlin, CT 06037 Phone: 860-829-1300 Fax: 860-829-1388 | |
Olivia Tubis, Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 1138 Farmington Ave, Berlin, CT 06037 Phone: 860-829-5511 | |
Kari Anne Callahan, MPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 1138 Farmington Ave, Berlin, CT 06037 Phone: 860-829-5511 Fax: 860-829-5577 | |
Dallas Peery, Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 1138 Farmington Ave, Berlin, CT 06037 Phone: 860-829-5511 |