Marlou Acosta, | |
832 North St, Apt. 1, Mount Vernon, IL 62864-3938 | |
(618) 303-6336 | |
Not Available |
Full Name | Marlou Acosta |
---|---|
Gender | Male |
Speciality | Physical Therapist |
Location | 832 North St, Mount Vernon, Illinois |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1629442421 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
225100000X | Physical Therapist | 070.021184 (Illinois) | Primary |
Provider Name | Florida Luna Care Physical Therapy Llc |
---|---|
Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
Provider Identifiers | NPI Number: 1114542032 PECOS PAC ID: 3779991559 Enrollment ID: O20210415001126 |
Mailing Address | Practice Location Address |
---|---|
Marlou Acosta, 832 North St, Apt. 1, Mount Vernon, IL 62864-3938 Ph: (618) 303-1323 | Marlou Acosta, 832 North St, Apt. 1, Mount Vernon, IL 62864-3938 Ph: (618) 303-6336 |
Mary L. Stedelin, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 208 Zachery Dr, Mount Vernon, IL 62864 Phone: 618-204-5497 Fax: 618-204-5487 | |
Terri S Garrett, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 208 Zachery Dr, Mount Vernon, IL 62864 Phone: 618-204-5497 | |
Mrs. Cheryl Jeanne Uy Rushing, PT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 8 Doctors Park Rd, Mount Vernon, IL 62864 Phone: 618-241-8595 Fax: 618-241-8759 | |
James M Mulvaney, Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 1007 S 42nd St, Suite 5, Mount Vernon, IL 62864 Phone: 618-244-1163 Fax: 618-244-1522 | |
Hayden Klockenga, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 4121 Veterans Memorial Dr, Mount Vernon, IL 62864 Phone: 618-242-3778 | |
Mrs. Susan Christine Portner, RPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 4121 Veterans Memorial Dr, Mount Vernon, IL 62864 Phone: 618-242-8887 Fax: 618-244-5537 | |
Mrs. Stephanie Schaubert, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 4121 Veterans Memorial Dr, Mount Vernon, IL 62864 Phone: 618-242-3778 Fax: 618-242-2551 |