Mr Donald Gary Heacock, PT | |
7310 Ritchie Hwy, Suite 500, Glen Burnie, MD 21061-3065 | |
(410) 766-4435 | |
(410) 766-4437 |
Full Name | Mr Donald Gary Heacock |
---|---|
Gender | Male |
Speciality | Physical Therapy |
Experience | 42 Years |
Location | 7310 Ritchie Hwy, Glen Burnie, 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 |
---|---|---|---|
1023022324 | NPI | - | NPPES |
756LN288 | Other | MD | RAILROAD MEDICARE |
147433401 | Other | MD | ACS / US DEPT OF LABOR |
1359660 | Other | MD | AETNA USHEALTHCARE |
145799600 | Other | MD | OWCP/DEPARTMENT OF LABOR |
1784629 | Other | MD | UNITED HEALTHCARE |
521200786 | Other | MD | UNITED HEALTH CARE |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
225100000X | Physical Therapist | 15332 (Maryland) | Primary |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Glen Burnie Physical Therapy And Sportscare Llc | 0042102592 | 26 |
Maryland Sportscare And Rehab Llc | 2860440427 | 125 |
Provider Name | Glen Burnie Physical Therapy & Sportscare Llc |
---|---|
Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1679630073 PECOS PAC ID: 0042102592 Enrollment ID: O20040329000584 |
Provider Name | Professional Sportscare & Rehab Llc |
---|---|
Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
Provider Identifiers | NPI Number: 1033142294 PECOS PAC ID: 9335137363 Enrollment ID: O20130522000082 |
Provider Name | Maryland Sportscare & Rehab Llc |
---|---|
Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
Provider Identifiers | NPI Number: 1518951995 PECOS PAC ID: 2860440427 Enrollment ID: O20151113000065 |
Mailing Address | Practice Location Address |
---|---|
Mr Donald Gary Heacock, PT 350 New Fidelity Ct, Garner, NC 27529-2665 Ph: (919) 258-2714 | Mr Donald Gary Heacock, PT 7310 Ritchie Hwy, Suite 500, Glen Burnie, MD 21061-3065 Ph: (410) 766-4435 |
Charles W. Davis Ii Md Llc Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1406b Crain Hwy S, Suite 107, Glen Burnie, MD 21061 Phone: 410-595-2042 Fax: 410-595-2041 | |
Judith Swaim, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 7310 Ritchie Hwy Ste 615, Glen Burnie, MD 21061 Phone: 410-766-0006 Fax: 410-766-0048 | |
Amy Calabrese, Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 7671 Quarterfield Rd Ste 101, Glen Burnie, MD 21061 Phone: 410-590-2334 | |
Mrs. Kelly Ann Runfola, PT, MS Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 1600 Crain Hwy S, Suite 302, Glen Burnie, MD 21061 Phone: 410-768-1213 Fax: 410-768-1203 | |
Ms. Jennifier E Stone, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 7310 Ritchie Hwy, Suite 500, Glen Burnie, MD 21061 Phone: 410-766-4047 Fax: 410-766-4049 | |
Mr. Roland Paranal Sinfuego, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 7310 Ritchie Hwy Ste 810, Glen Burnie, MD 21061 Phone: 410-863-5939 |