Marcus Bacon, | |
1138 Farmington Ave, Berlin, CT 06037 | |
(860) 829-5511 | |
(860) 829-5577 |
Full Name | Marcus Bacon |
---|---|
Gender | Male |
Speciality | Physical Therapy |
Experience | 22 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 | |
Central Ct Physical Medicine 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: Medicare Enrolled 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 | |
Jonathan Maneen, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 598 Deming Rd, Berlin, CT 06037 Phone: 203-601-7446 |