Mark Bodin, PT | |
1004 N Walnut St, Milford, DE 19963-1244 | |
(302) 422-6670 | |
Not Available |
Full Name | Mark Bodin |
---|---|
Gender | Male |
Speciality | Physical Therapist |
Location | 1004 N Walnut St, Milford, Delaware |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1558389759 | NPI | - | NPPES |
1558389759 | Medicaid | DE | |
5070-0094 | Other | MD | GHMSI |
3502360000 | Other | IBC AMERIHEALTH | |
64332706 | Other | MD | CAREFIRST MD |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
225100000X | Physical Therapist | J10001805 (Delaware) | Primary |
Provider Name | Summit Orthopaedic Home Care, Llc |
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Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
Provider Identifiers | NPI Number: 1861898330 PECOS PAC ID: 9537472147 Enrollment ID: O20150724010659 |
Mailing Address | Practice Location Address |
---|---|
Mark Bodin, PT 790 Remington Blvd, Bolingbrook, IL 60440-4909 Ph: (630) 296-2223 | Mark Bodin, PT 1004 N Walnut St, Milford, DE 19963-1244 Ph: (302) 422-6670 |
Jon Christopher Waxham, PT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 1004 N Walnut St, Milford, DE 19963 Phone: 302-503-0440 | |
Mr. George Munoz Rodriguera, PT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 907 N Dupont Blvd Ste 104, Milford, DE 19963 Phone: 302-422-2518 | |
Mr. Michael Sanchez, R.P.T. Physical Therapist Medicare: Medicare Enrolled Practice Location: 1009 Mattlind Way, Milford, DE 19963 Phone: 302-548-9387 | |
Casey Liberman, Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 941 N Dupont Blvd Ste C, Milford, DE 19963 Phone: 302-422-6670 | |
Southern Delaware Sports Care And Rehabilitation, Llc Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 329 Mullet Run Street, Milford, DE 19963 Phone: 302-424-1810 | |
Marie Ann Florendo, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 4 Briar Ct, Milford, DE 19963 Phone: 302-249-6673 | |
Allison Brooke Johannsen, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 700 Marvel Rd, Milford, DE 19963 Phone: 302-650-2181 |