Mark B Mckinley, DPT | |
4710 Puddledock Rd, Ste 100, Prince George, VA 23875-1269 | |
(804) 732-0035 | |
(804) 732-0045 |
Full Name | Mark B Mckinley |
---|---|
Gender | Male |
Speciality | Physical Therapy |
Experience | 11 Years |
Location | 4710 Puddledock Rd, Prince George, Virginia |
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 |
---|---|---|---|
1962895623 | NPI | - | NPPES |
7559 | Other | SC | LICENSE |
C09813 | Other | VA | MEDICARE IDENTIFICATION NUMBER |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
225100000X | Physical Therapist | 7559 (South Carolina) | Secondary |
225100000X | Physical Therapist | 2305207940 (Virginia) | Primary |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Orthovirginia Inc | 0547157224 | 491 |
Provider Name | Orthovirginia Inc |
---|---|
Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1487671822 PECOS PAC ID: 0547157224 Enrollment ID: O20040228000320 |
Provider Name | Virginia Luna Care Physical Therapy Llc |
---|---|
Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1235720848 PECOS PAC ID: 0941615405 Enrollment ID: O20210319000961 |
Mailing Address | Practice Location Address |
---|---|
Mark B Mckinley, DPT 1115 Boulders Pkwy, Ste 200, North Chesterfield, VA 23225-4067 Ph: (804) 560-5595 | Mark B Mckinley, DPT 4710 Puddledock Rd, Ste 100, Prince George, VA 23875-1269 Ph: (804) 732-0035 |
Shannon Schilstra, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 4710 Puddledock Rd Ste 100, Prince George, VA 23875 Phone: 804-732-0095 | |
Mr. Robert Alexander Lehner, D.P.T. Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 4710 Puddledock Rd, Suite 100, Prince George, VA 23875 Phone: 804-732-0035 Fax: 804-732-0045 | |
Evelyn Ann Koon, DPT Physical Therapist Medicare: Medicare Enrolled Practice Location: 4710 Puddledock Rd Ste 100, Prince George, VA 23875 Phone: 804-732-0095 Fax: 804-732-0045 | |
Susan M. Powroznik, PT, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 4710 Puddledock Rd Ste 100, Prince George, VA 23875 Phone: 804-732-0035 Fax: 804-287-2786 | |
Mr. Seamus Dylan Lynch, DPT, CSCS Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 4710 Puddledock Rd Ste 100, Prince George, VA 23875 Phone: 804-285-2645 | |
Lauren Jones, PT, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 4710 Puddledock Rd, Suite 100, Prince George, VA 23875 Phone: 804-732-0035 Fax: 804-732-0045 | |
Morgan Lynn Massarelli, Physical Therapist Medicare: Medicare Enrolled Practice Location: 4710 Puddledock Rd Ste 100, Prince George, VA 23875 Phone: 804-732-0035 Fax: 804-732-0055 |