Monalisa Perez, RPT | |
121 Boatyard Dr A, Fort Bragg, CA 95437-5751 | |
(707) 964-1208 | |
(707) 964-2269 |
Full Name | Monalisa Perez |
---|---|
Gender | Female |
Speciality | Physical Therapy |
Experience | 43 Years |
Location | 121 Boatyard Dr A, Fort Bragg, California |
Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1700844362 | NPI | - | NPPES |
PT0140120 | Medicaid | CA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
225100000X | Physical Therapist | PT14012 (California) | Primary |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Humboldt Physical Therapy, Inc | 6709900160 | 4 |
Provider Name | Humboldt Physical Therapy, Inc |
---|---|
Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
Provider Identifiers | NPI Number: 1740501022 PECOS PAC ID: 6709900160 Enrollment ID: O20100908000246 |
Mailing Address | Practice Location Address |
---|---|
Monalisa Perez, RPT 121 A Boatyard Drive, Fort Bragg, CA 95437 Ph: (707) 964-1208 | Monalisa Perez, RPT 121 Boatyard Dr A, Fort Bragg, CA 95437-5751 Ph: (707) 964-1208 |
Tammy Gail Patrick, Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 31500 Winding Way, Fort Bragg, CA 95437 Phone: 707-964-1208 Fax: 707-964-2269 | |
Mr. Larry D Hinson, R.P.T. Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 18661 Old Coast Hwy, Fort Bragg, CA 95437 Phone: 707-964-5645 Fax: 707-964-6213 | |
Jocelyn Woodason, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 32200 N Harbor Dr Spc 19, Fort Bragg, CA 95437 Phone: 615-651-5365 | |
Donna Marie Burke, RPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 121 Boatyard Dr, Ste A, Fort Bragg, CA 95437 Phone: 707-964-1208 Fax: 707-964-2269 | |
Mr. Shawn Rueze Hackley, P.T. Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 501 Cypress St, Fort Bragg, CA 95437 Phone: 707-961-6191 Fax: 707-964-6213 | |
Sheri Lynn White-hackley, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 31740 Cedar St, Fort Bragg, CA 95437 Phone: 707-961-1606 | |
Sarah Wagner, Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 121 Boatyard Dr, Fort Bragg, CA 95437 Phone: 707-964-1208 Fax: 707-964-2269 |