Mr Brad C Wilson, DPT,ATC | |
1301 A Harrison Ave, Professional Rehab Associates, Mccomb, MS 39648 | |
(601) 250-5455 | |
(601) 250-5453 |
Full Name | Mr Brad C Wilson |
---|---|
Gender | Male |
Speciality | Physical Therapy |
Experience | 23 Years |
Location | 1301 A Harrison Ave, Mccomb, Mississippi |
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 |
---|---|---|---|
1093011595 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
225100000X | Physical Therapist | MSPT3350 (Mississippi) | Primary |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Professional Rehab Associates | 2567648777 | 7 |
Provider Name | Professional Rehab Associates |
---|---|
Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1801192307 PECOS PAC ID: 2567648777 Enrollment ID: O20110523000605 |
Mailing Address | Practice Location Address |
---|---|
Mr Brad C Wilson, DPT,ATC 1301 A Harrison Ave, Mccomb, MS 39648 Ph: (601) 250-5455 | Mr Brad C Wilson, DPT,ATC 1301 A Harrison Ave, Professional Rehab Associates, Mccomb, MS 39648 Ph: (601) 250-5455 |
Judy Thibodeaux, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 206 Maryland Ave, Mccomb, MS 39648 Phone: 601-250-4815 Fax: 601-250-6859 | |
Emily Troxler, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 501 S Locust St, Mccomb, MS 39648 Phone: 601-684-8111 | |
Taneshia Jones, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 501 S Locust St, Mccomb, MS 39648 Phone: 601-684-8111 | |
Nigelia Williams, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 206 Maryland Ave, Mccomb, MS 39648 Phone: 601-250-4815 | |
Karen Alicia Hart, PT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 1301a Harrison Ave, Mccomb, MS 39648 Phone: 601-250-5455 Fax: 601-250-5453 | |
Enid Poche Smith, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 206 Maryland Ave, Mccomb, MS 39648 Phone: 601-250-4815 |