Mr Mason Shaw, DPT | |
309 S Washington St, Deridder, LA 70634-4861 | |
(337) 462-6097 | |
(337) 462-0531 |
Full Name | Mr Mason Shaw |
---|---|
Gender | Male |
Speciality | Physical Therapy |
Experience | 3 Years |
Location | 309 S Washington St, Deridder, Louisiana |
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 |
---|---|---|---|
1245800051 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
225100000X | Physical Therapist | PT10908 (Louisiana) | Primary |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Beauregard Physical Therapy Clinic, Inc | 6002967684 | 2 |
Provider Name | Beauregard Physical Therapy Clinic, Inc |
---|---|
Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1003080367 PECOS PAC ID: 6002967684 Enrollment ID: O20090622000156 |
Mailing Address | Practice Location Address |
---|---|
Mr Mason Shaw, DPT 309 S Washington St, Deridder, LA 70634-4861 Ph: (337) 462-6097 | Mr Mason Shaw, DPT 309 S Washington St, Deridder, LA 70634-4861 Ph: (337) 462-6097 |
Beauregard Physical Therapy Clinic, Inc Physical Therapist Medicare: Medicare Enrolled Practice Location: 309 S Washington St, Deridder, LA 70634 Phone: 337-462-6097 Fax: 337-462-0531 | |
Premier Performance Physical Therapy And Sports Rehab Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 243 E 1st St, Deridder, LA 70634 Phone: 936-465-6282 | |
Dr. Russell Warren Hearne, PT,DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 192 Highway 3226, Deridder, LA 70634 Phone: 936-465-6282 | |
Dr. Cody Ray Leblanc, DPT, PT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 192 Highway 3226, Deridder, LA 70634 Phone: 337-375-1013 | |
Dr. Rebecca Kohara Broussard, P.T., D.P.T. Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 309 S Washington St, Deridder, LA 70634 Phone: 337-462-6097 Fax: 337-462-0531 | |
Tracy Winkley, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1744 Ball Rd, Deridder, LA 70634 Phone: 337-396-8598 Fax: 337-463-2918 |