Mr Jeffrey C Beasom, PT | |
2706 Rew Cir, Ocoee, FL 34761-4215 | |
(407) 614-8337 | |
(407) 614-8341 |
Full Name | Mr Jeffrey C Beasom |
---|---|
Gender | Male |
Speciality | Physical Therapist - Orthopedic |
Location | 2706 Rew Cir, Ocoee, Florida |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1598905481 | NPI | - | NPPES |
000698700 | Medicaid | FL |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
225100000X | Physical Therapist | PT5738 (Florida) | Secondary |
2251X0800X | Physical Therapist - Orthopedic | PT5738 (Florida) | Primary |
Provider Name | Orlando Health Medical Group Inc |
---|---|
Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1669429577 PECOS PAC ID: 9537059084 Enrollment ID: O20040318000044 |
Mailing Address | Practice Location Address |
---|---|
Mr Jeffrey C Beasom, PT 2706 Rew Cir, Ocoee, FL 34761-4215 Ph: (407) 614-8337 | Mr Jeffrey C Beasom, PT 2706 Rew Cir, Ocoee, FL 34761-4215 Ph: (407) 614-8337 |
Mirna Maged Rizkalla, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 578 Ocoee Commerce Pkwy, Ocoee, FL 34761 Phone: 407-656-3061 | |
Mrs. Maryann Daniels, PT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 11169 W Colonial Dr, Ocoee, FL 34761 Phone: 407-347-8936 Fax: 352-404-6909 | |
Mrs. Larissa Lynn Naso, P.T. Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 10000 W Colonial Dr, Suite 381, Ocoee, FL 34761 Phone: 407-296-1900 | |
Timothy Heeke, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1177 Blackwood Ave, Ocoee, FL 34761 Phone: 407-292-0073 | |
Mr. Thomas Langer Ii, P.T. Physical Therapist Medicare: Medicare Enrolled Practice Location: 1177 Blackwood Ave, Ocoee, FL 34761 Phone: 407-292-0073 Fax: 407-292-9666 | |
Mr. Ronan Leva Roque, P.T. Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 189 Covered Bridge Drive, Ocoee, FL 34761 Phone: 407-905-0365 Fax: 407-905-0365 | |
Mr. Adam Shaw Sr., PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 8945 W Colonial Dr, Ocoee, FL 34761 Phone: 407-822-7506 |