Mrs Shannon Marie Stevens, M S P T | |
722 E Florida St/po Bx1518, Deming, NM 88030-5310 | |
(505) 546-2555 | |
(505) 546-2725 |
Full Name | Mrs Shannon Marie Stevens |
---|---|
Gender | Female |
Speciality | Physical Therapy |
Experience | 24 Years |
Location | 722 E Florida St/po Bx1518, Deming, New Mexico |
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 |
---|---|---|---|
1497844732 | NPI | - | NPPES |
23693 | Other | NM | LOVELACE |
73559 | Other | NM | PRESBYTERIAN |
NM01Q136 | Other | NM | BLUE CROSS BLUE SHIELD |
57831271 | Medicaid | NM |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
225100000X | Physical Therapist | 2570 (New Mexico) | Primary |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Summit Rehabilitation Llc | 1052592482 | 2 |
Provider Name | Summit Rehabilitation Llc |
---|---|
Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
Provider Identifiers | NPI Number: 1477542041 PECOS PAC ID: 1052592482 Enrollment ID: O20110218000130 |
Mailing Address | Practice Location Address |
---|---|
Mrs Shannon Marie Stevens, M S P T 722 E Florida St/po Bx1518, Deming, NM 88030-5310 Ph: (505) 546-2555 | Mrs Shannon Marie Stevens, M S P T 722 E Florida St/po Bx1518, Deming, NM 88030-5310 Ph: (505) 546-2555 |
Mr. Jose Miguel Aldea, P.T. Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1510 S Slate St, Deming, NM 88030 Phone: 575-544-8669 Fax: 575-546-0338 | |
Summit Rehabilitation Llc Physical Therapist Medicare: Medicare Enrolled Practice Location: 722 E Florida St, Deming, NM 88030 Phone: 505-546-2555 Fax: 505-546-2725 | |
Ashley N Fetrow, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 722 E Florida St, Deming, NM 88030 Phone: 575-546-2555 Fax: 575-546-2725 | |
Barbara L Reedy, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 501 W Florida St, Deming, NM 88030 Phone: 575-546-0427 |