Mr Lemuel Campomanes Martin, PT | |
1281 Craig Avenue, Lakeport, CA 95453 | |
(707) 263-4564 | |
(707) 263-4572 |
Full Name | Mr Lemuel Campomanes Martin |
---|---|
Gender | Male |
Speciality | Physical Therapy |
Experience | 42 Years |
Location | 1281 Craig Avenue, Lakeport, California |
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 |
---|---|---|---|
1083622039 | NPI | - | NPPES |
PT11399 | Other | COMMERCIAL PIN | |
ZZZ273982 | Other | BLUE SHIELD |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
225100000X | Physical Therapist | PT11399 (California) | Primary |
Provider Name | Lemuel C & Elmezen Martin |
---|---|
Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1477614741 PECOS PAC ID: 7911004049 Enrollment ID: O20080327000351 |
Mailing Address | Practice Location Address |
---|---|
Mr Lemuel Campomanes Martin, PT Po Box 1560, Lakeport, CA 95453-1560 Ph: (707) 263-4564 | Mr Lemuel Campomanes Martin, PT 1281 Craig Avenue, Lakeport, CA 95453 Ph: (707) 263-4564 |
Aundrea Renee Tyner, P.T. Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 381 Lakeport Blvd, Lakeport, CA 95453 Phone: 707-263-5210 | |
Matthew J. Garrean, P.T. Physical Therapist Medicare: Medicare Enrolled Practice Location: 1281 Craig Ave, Lakeport, CA 95453 Phone: 707-263-4564 Fax: 707-263-4572 | |
Clear Lake Physical Therapy Inc Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1173 11th Street, Lakeport, CA 95453 Phone: 707-263-1295 Fax: 707-263-1295 | |
Lakeport Physical Therapy, Inc. Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 381 Lakeport Blvd, Lakeport, CA 95453 Phone: 707-263-5210 Fax: 707-263-8045 | |
Quail Run Physical Therapy Physical Therapist Medicare: Medicare Enrolled Practice Location: 422 Lakeport Blvd, Lakeport, CA 95453 Phone: 707-263-6845 Fax: 707-263-6451 |