Mrs Julie Black, | |
2061 Highway 52 South, Moncks Corner, SC 29461 | |
(843) 761-4622 | |
(843) 761-4625 |
Full Name | Mrs Julie Black |
---|---|
Gender | Female |
Speciality | Physical Therapy |
Experience | 28 Years |
Location | 2061 Highway 52 South, Moncks Corner, South Carolina |
Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1346258183 | NPI | - | NPPES |
GP1753 | Medicaid | SC | |
TH1760 | Medicaid | SC |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
225100000X | Physical Therapist | 3600 (South Carolina) | Primary |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Rsfh - Ati Physical Therapy Llc | 3375849946 | 74 |
Provider Name | Greenville Proaxis Therapy Llc |
---|---|
Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1669457859 PECOS PAC ID: 0244267771 Enrollment ID: O20050726000769 |
Provider Name | Rehabilitation Centers Of Charleston, Llc |
---|---|
Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1205842762 PECOS PAC ID: 3274638895 Enrollment ID: O20070410000358 |
Provider Name | Rsfh - Ati Physical Therapy Llc |
---|---|
Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
Provider Identifiers | NPI Number: 1912378365 PECOS PAC ID: 3375849946 Enrollment ID: O20160308000885 |
Mailing Address | Practice Location Address |
---|---|
Mrs Julie Black, 790 Remington Blvd, Bolingbrook, IL 60440-4909 Ph: () - | Mrs Julie Black, 2061 Highway 52 South, Moncks Corner, SC 29461 Ph: (843) 761-4622 |
Lindsey Pezzo, PT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 116 Foxbank Plantation Blvd Ste E, Moncks Corner, SC 29461 Phone: 843-761-4622 Fax: 843-761-4625 | |
Coastal Clemson Enterprise Llc Physical Therapist Medicare: Medicare Enrolled Practice Location: 115 Cooks Rest Ln, Moncks Corner, SC 29461 Phone: 678-978-2395 | |
Elizabeth Clemson, Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 2061 Us-52, Moncks Corner, SC 29461 Phone: 843-761-4622 | |
Dr. Elizabeth Geiger Harvey, PT, DPT, MSR, DHS Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 737 Bunkerhill Ln, Moncks Corner, SC 29461 Phone: 843-482-0878 | |
Dane R Mowitz, Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 2061 Highway 52, Moncks Corner, SC 29461 Phone: 843-761-4622 | |
Kbr Physical Therapy, Llc Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 314 Albrighton Way, Moncks Corner, SC 29461 Phone: 843-810-8501 | |
Tracey L Manasco, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 412 Drive In Lane, Unit D, Moncks Corner, SC 29461 Phone: 843-761-6732 Fax: 843-761-6734 |