Mr Kevin David Wilson, | |
2835 Miami Village Dr, Miamisburg, OH 45342-4587 | |
(937) 449-0796 | |
(937) 262-7468 |
Full Name | Mr Kevin David Wilson |
---|---|
Gender | Male |
Speciality | Physical Therapy |
Experience | 21 Years |
Location | 2835 Miami Village Dr, Miamisburg, Ohio |
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 |
---|---|---|---|
1104890128 | NPI | - | NPPES |
9416961 | Other | OH | PHCS |
2638622 | Medicaid | OH | |
P00421513 | Other | OH | MEDICARE RAILROAD |
000000385602 | Other | OH | ANTHEM |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
225100000X | Physical Therapist | PT010461 (Ohio) | Primary |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Beacon Orthopaedics And Sports Medicine Ltd | 0345136412 | 428 |
Provider Name | Beacon Orthopaedics & Sports Medicine Ltd |
---|---|
Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1386670065 PECOS PAC ID: 0345136412 Enrollment ID: O20040225000690 |
Mailing Address | Practice Location Address |
---|---|
Mr Kevin David Wilson, 6480 Harrison Ave Ste 201, Cincinnati, OH 45247-7961 Ph: (513) 354-3700 | Mr Kevin David Wilson, 2835 Miami Village Dr, Miamisburg, OH 45342-4587 Ph: (937) 449-0796 |
Danielle Steinke, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 3449 Newmark Dr, Miamisburg, OH 45342 Phone: 937-281-1286 | |
Dr. Michael Lee Jacob Rando, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 8316 Springboro Pike, Miamisburg, OH 45342 Phone: 937-204-1880 Fax: 937-204-1879 | |
Rachael Olson, PT, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 3449 Newmark Dr, Miamisburg, OH 45342 Phone: 937-281-1286 | |
Kellen Kubik, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 2835 Miami Village Dr, Miamisburg, OH 45342 Phone: 937-449-0796 Fax: 937-262-7468 | |
Danielle Elizabeth Boggs, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1120 Dunaway St, Miamisburg, OH 45342 Phone: 937-866-9089 | |
Ryan Cloud, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 8316 Springboro Pike, Miamisburg, OH 45342 Phone: 937-204-1880 Fax: 937-204-1879 |