Mary Lou Corcoran, PT | |
510 Towne Dr, Suite 100, Fayetteville, NY 13066-1331 | |
(315) 637-4747 | |
(315) 637-6711 |
Full Name | Mary Lou Corcoran |
---|---|
Gender | Female |
Speciality | Physical Therapist |
Location | 510 Towne Dr, Fayetteville, New York |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1750327763 | NPI | - | NPPES |
955322 | Other | NY | MVP |
161303109 | Other | NY | CIGNA |
000151870 | Other | NY | BSCNY |
000921742001 | Other | NY | HEALTHNOW NY |
161303109 | Other | NY | UNITED HEALTHCARE |
5056028 | Other | NY | AETNA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
225100000X | Physical Therapist | 006344-1 (New York) | Primary |
Provider Name | Mary Lou Corcoran Pt Pc |
---|---|
Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1699780338 PECOS PAC ID: 2668386145 Enrollment ID: O20031118000810 |
Mailing Address | Practice Location Address |
---|---|
Mary Lou Corcoran, PT 510 Towne Dr, Suite 100, Fayetteville, NY 13066-1331 Ph: (315) 637-4747 | Mary Lou Corcoran, PT 510 Towne Dr, Suite 100, Fayetteville, NY 13066-1331 Ph: (315) 637-4747 |
Mr. Louis A. Frechette, PT, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 4305 Medical Center Dr, Suite 4305, Fayetteville, NY 13066 Phone: 315-329-7400 Fax: 315-329-7403 | |
Mackenzie Jane Stuck, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 510 Towne Dr, Fayetteville, NY 13066 Phone: 315-637-4747 Fax: 315-637-6711 | |
Janet Lynne Murphy, PT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 510 Towne Dr, Suite 100, Fayetteville, NY 13066 Phone: 315-637-4747 Fax: 315-637-6711 | |
Ms. Marilyn E Rees, MPS Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 209 Homewood Dr, Fayetteville, NY 13066 Phone: 315-637-0236 | |
Kelly M Zawacki, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 510 Towne Dr, Ste 100, Fayetteville, NY 13066 Phone: 315-637-4747 Fax: 315-637-6711 | |
Mr. George Barrett, PT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 6800 E Genesee St, Suite A, Fayetteville, NY 13066 Phone: 315-478-0380 Fax: 315-478-0388 | |
Patricia Jean Boehlert, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 4401 Medical Center Dr Ste 401, Fayetteville, NY 13066 Phone: 315-329-2550 Fax: 315-744-1947 |