Michael R Wimberly Ii, PT,MPT | |
107 Front St, Suite 230, Vidalia, LA 71373-2836 | |
(318) 336-2224 | |
(318) 336-6068 |
Full Name | Michael R Wimberly Ii |
---|---|
Gender | Male |
Speciality | Physical Therapy |
Experience | 24 Years |
Location | 107 Front St, Vidalia, Louisiana |
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 |
---|---|---|---|
1700937950 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
225100000X | Physical Therapist | PT04879 (Louisiana) | Primary |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
J H Fairbanks, Md Pllc | 2062504798 | 2 |
Provider Name | J H Fairbanks, Md Pllc |
---|---|
Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1336209550 PECOS PAC ID: 2062504798 Enrollment ID: O20070824000710 |
Mailing Address | Practice Location Address |
---|---|
Michael R Wimberly Ii, PT,MPT 901 Lindberg Ave, Natchez, MS 39120-4884 Ph: (601) 304-4161 | Michael R Wimberly Ii, PT,MPT 107 Front St, Suite 230, Vidalia, LA 71373-2836 Ph: (318) 336-2224 |
Mrs. Lacey Ozburn, DPT Physical Therapist Medicare: Medicare Enrolled Practice Location: 4616 Highway 84 W, Vidalia, LA 71373 Phone: 318-336-5400 Fax: 318-336-8621 | |
Erin Fournet Woodruff, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 402 Holly Street, Vidalia, LA 71373 Phone: 318-336-6500 | |
Miss Jessica Marling Clayton, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 4616 Highway 84 W, Vidalia, LA 71373 Phone: 318-336-5400 Fax: 318-336-8621 | |
James Justin Garner, PT,MPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 107 Front Street, Suite 210, Vidalia, LA 71373 Phone: 318-336-2224 Fax: 318-336-6067 |