Mr Eli Nebres Fontanilla, PT | |
6250 Old Dobbin Ln, Columbia, MD 21045-5816 | |
(410) 730-3399 | |
Not Available |
Full Name | Mr Eli Nebres Fontanilla |
---|---|
Gender | Male |
Speciality | Physical Therapy |
Experience | 13 Years |
Location | 6250 Old Dobbin Ln, Columbia, 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 |
---|---|---|---|
1568686426 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
225100000X | Physical Therapist | 26786 (New York) | Primary |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Centennial Medical Group, Pa | 2668466038 | 20 |
Provider Name | Centennial Medical Group, Pa |
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Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1134235039 PECOS PAC ID: 2668466038 Enrollment ID: O20040409000473 |
Mailing Address | Practice Location Address |
---|---|
Mr Eli Nebres Fontanilla, PT 16 Brighton 8th Pl, Brooklyn, NY 11235-6364 Ph: (718) 769-0678 | Mr Eli Nebres Fontanilla, PT 6250 Old Dobbin Ln, Columbia, MD 21045-5816 Ph: (410) 730-3399 |
Susannah Lynn Coover, PT Physical Therapist Medicare: Medicare Enrolled Practice Location: 8885 Centre Park Dr Ste G, Columbia, MD 21045 Phone: 410-730-1275 | |
Mrs. Sandra L Woods, P.T. Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 5500 Knoll North Dr Ste 150, Columbia, MD 21045 Phone: 443-542-0062 | |
Laura Flynn, PT Physical Therapist Medicare: Medicare Enrolled Practice Location: 11085 Little Patuxent Pkwy, Suite 207, Columbia, MD 21044 Phone: 410-884-4111 Fax: 410-884-4113 | |
Ryan Bibeau, DPT, CSCS Physical Therapist Medicare: Medicare Enrolled Practice Location: 8895 Mcgaw Rd Ste G, Columbia, MD 21045 Phone: 443-441-0616 | |
Caitlin Elaine Kratz, PT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 5435 Beaverkill Rd, Columbia, MD 21044 Phone: 410-740-0883 Fax: 410-740-9970 | |
Loretta Anne Merl, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 10632 Little Patuxent Pkwy, Columbia, MD 21044 Phone: 410-740-0300 | |
Lily Wei, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 5435 Beaverkill Rd, Columbia, MD 21044 Phone: 410-740-0883 Fax: 410-740-9970 |