Mr Doug Dustin Buethe, MPT, CSCS | |
1056 E Brandon Blvd, Brandon, FL 33511-5509 | |
(813) 413-5513 | |
(813) 681-8300 |
Full Name | Mr Doug Dustin Buethe |
---|---|
Gender | Male |
Speciality | Physical Therapy |
Experience | 18 Years |
Location | 1056 E Brandon Blvd, Brandon, Florida |
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 |
---|---|---|---|
1164528451 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
225100000X | Physical Therapist | PT22852 (Florida) | Primary |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Optimal Performance And Physical Therapies-riverview, Llc. | 4688985567 | 10 |
Optimal Performance And Physical Therapies-brandon Llc | 7214104587 | 7 |
Provider Name | Optimal Performance And Physical Therapies-brandon Llc |
---|---|
Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
Provider Identifiers | NPI Number: 1407132632 PECOS PAC ID: 7214104587 Enrollment ID: O20120127000322 |
Provider Name | Optimal Performance And Physical Therapies-riverview, Llc. |
---|---|
Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
Provider Identifiers | NPI Number: 1063810505 PECOS PAC ID: 4688985567 Enrollment ID: O20150618001660 |
Mailing Address | Practice Location Address |
---|---|
Mr Doug Dustin Buethe, MPT, CSCS 3903 Northdale Blvd, Ste 111w, Tampa, FL 33624-1864 Ph: (813) 381-6778 | Mr Doug Dustin Buethe, MPT, CSCS 1056 E Brandon Blvd, Brandon, FL 33511-5509 Ph: (813) 413-5513 |
Mr. Ronney Etienne, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 116 E Bloomingdale Ave, Brandon, FL 33511 Phone: 813-655-3342 Fax: 813-653-0894 | |
Jennifer Bishop, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1056 E Brandon Blvd, Brandon, FL 33511 Phone: 813-413-5513 Fax: 813-681-8300 | |
Tracy A Hennemann, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 116 E Bloomingdale Ave, Brandon, FL 33511 Phone: 891-365-5334 Fax: 813-653-0894 | |
Hillary Hixon, Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 1076 E Brandon Blvd Ste 106, Brandon, FL 33511 Phone: 813-413-5513 | |
Mr. Randall Walter Grossglass, PT Physical Therapist Medicare: May Accept Medicare Assignments Practice Location: 134 E Bloomingdale Ave, Brandon, FL 33511 Phone: 813-681-1627 Fax: 813-684-1356 | |
Marc Boults, Physical Therapist Medicare: Medicare Enrolled Practice Location: 602 Vonderburg Dr, Suite 201, Brandon, FL 33511 Phone: 863-617-9400 Fax: 863-688-9858 | |
Deborah Raplee, PT, DPT Physical Therapist Medicare: Medicare Enrolled Practice Location: 1056 E Brandon Blvd, Brandon, FL 33511 Phone: 813-413-5513 Fax: 813-681-8300 |