Mr Brian Ira Weisman, PT | |
801 Toll House Ave Ste H3, Frederick, MD 21701-6117 | |
(240) 575-9380 | |
Not Available |
Full Name | Mr Brian Ira Weisman |
---|---|
Gender | Male |
Speciality | Physical Therapy |
Experience | 28 Years |
Location | 801 Toll House Ave Ste H3, Frederick, Maryland |
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 |
---|---|---|---|
1992711634 | NPI | - | NPPES |
7446385 | Other | MD | AETNA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
225100000X | Physical Therapist | 18749 (Maryland) | Primary |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Red Canyon Llc | 1052618352 | 12 |
Red Canyon Llc | 1052618352 | 12 |
Provider Name | Red Canyon Llc |
---|---|
Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
Provider Identifiers | NPI Number: 1952768673 PECOS PAC ID: 1052618352 Enrollment ID: O20160331002359 |
Mailing Address | Practice Location Address |
---|---|
Mr Brian Ira Weisman, PT 200 Business Center Dr, Reisterstown, MD 21136-1230 Ph: (410) 833-3025 | Mr Brian Ira Weisman, PT 801 Toll House Ave Ste H3, Frederick, MD 21701-6117 Ph: (240) 575-9380 |
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