Mr Bienvenido Poncardas Ceballos Jr, BSPT | |
55 Post Ave, Ste 205, Westbury, NY 11590-4361 | |
(516) 338-0412 | |
(516) 338-1106 |
Full Name | Mr Bienvenido Poncardas Ceballos Jr |
---|---|
Gender | Male |
Speciality | Physical Therapy |
Experience | 29 Years |
Location | 55 Post Ave, Westbury, New York |
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 |
---|---|---|---|
1558409110 | NPI | - | NPPES |
02330692 | Medicaid | NY |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
225100000X | Physical Therapist | 019520 (New York) | Primary |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Therapeutic Physical Therapy Pc | 9335221050 | 2 |
Provider Name | Therapeutic Physical Therapy Pc |
---|---|
Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
Provider Identifiers | NPI Number: 1093853657 PECOS PAC ID: 9335221050 Enrollment ID: O20080201000458 |
Mailing Address | Practice Location Address |
---|---|
Mr Bienvenido Poncardas Ceballos Jr, BSPT 15 Monmouth St, Deer Park, NY 11729-2514 Ph: (631) 839-4061 | Mr Bienvenido Poncardas Ceballos Jr, BSPT 55 Post Ave, Ste 205, Westbury, NY 11590-4361 Ph: (516) 338-0412 |
Mr. Peter Lipinski, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 1065 Old Country Rd, Suite 214, Westbury, NY 11590 Phone: 516-334-7000 | |
Mrs. Maria C Tibbe, PT Physical Therapist Medicare: Medicare Enrolled Practice Location: 3400 Brush Hollow Rd, Westbury, NY 11590 Phone: 516-903-4563 Fax: 631-775-0142 | |
Global Synergy Physical Therapy Rehab Llp Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 959 Brush Hollow Rd Ste 105, Westbury, NY 11590 Phone: 516-334-8877 Fax: 516-334-9647 | |
Rehabilities Physical Therapy Pllc Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 46 Faith Ln, Westbury, NY 11590 Phone: 516-338-5327 | |
Montefiore Medical Center Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1600 Stewart Ave Ste 110, Westbury, NY 11590 Phone: 516-265-1080 Fax: 516-302-4366 | |
Sharifa Jamila Gayles, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 32 Ridge Dr, Westbury, NY 11590 Phone: 305-490-6972 | |
Margarita Gnecco, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 990 Westbury Rd, Westbury, NY 11590 Phone: 516-876-8800 |