Marion Bianca Tyson, DPT | |
3890 Redwine Rd Sw, Suite 114, Atlanta, GA 30331-5582 | |
(404) 344-7880 | |
Not Available |
Full Name | Marion Bianca Tyson |
---|---|
Gender | Female |
Speciality | Physical Therapy |
Experience | 8 Years |
Location | 3890 Redwine Rd Sw, Atlanta, Georgia |
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 |
---|---|---|---|
1538616305 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
2251X0800X | Physical Therapist - Orthopedic | PT012482 (Georgia) | Primary |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Ideal Therapy, Llc | 6002963642 | 3 |
Provider Name | Genesis Sports Medicine And Rehabilitation, Llc |
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Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1861600520 PECOS PAC ID: 1759469224 Enrollment ID: O20080604000404 |
Provider Name | Ideal Therapy, Llc |
---|---|
Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1558508580 PECOS PAC ID: 6002963642 Enrollment ID: O20090416000341 |
Mailing Address | Practice Location Address |
---|---|
Marion Bianca Tyson, DPT 3890 Redwine Rd Sw, Suite 114, Atlanta, GA 30331-5582 Ph: () - | Marion Bianca Tyson, DPT 3890 Redwine Rd Sw, Suite 114, Atlanta, GA 30331-5582 Ph: (404) 344-7880 |
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Spencer Edward Kasmere, PT, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 925 Garrett St Se Ste J, Atlanta, GA 30316 Phone: 404-624-5407 Fax: 404-624-5409 | |
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