Ms Tanya Kaye Cancade, MPT | |
1605 Grand Central Ave, Vienna, WV 26105-1081 | |
(304) 295-7290 | |
(304) 295-5922 |
Full Name | Ms Tanya Kaye Cancade |
---|---|
Gender | Female |
Speciality | Physical Therapy |
Experience | 26 Years |
Location | 1605 Grand Central Ave, Vienna, West Virginia |
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 |
---|---|---|---|
1417907080 | NPI | - | NPPES |
P00638940 | Other | RAILROAD MEDICARE | |
3810002353 | Medicaid | WV | |
2552858 | Medicaid | OH |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
225100000X | Physical Therapist | PT001849 (West Virginia) | Primary |
225100000X | Physical Therapist | 010898 (Ohio) | Secondary |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Natalie L Cooke Llc | 4082911268 | 9 |
Provider Name | Natalie L Cooke Llc |
---|---|
Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
Provider Identifiers | NPI Number: 1891160677 PECOS PAC ID: 4082911268 Enrollment ID: O20160404000577 |
Mailing Address | Practice Location Address |
---|---|
Ms Tanya Kaye Cancade, MPT 1605 Grand Central Ave, Vienna, WV 26105-1081 Ph: (304) 295-7290 | Ms Tanya Kaye Cancade, MPT 1605 Grand Central Ave, Vienna, WV 26105-1081 Ph: (304) 295-7290 |
Markus Brunzel, Physical Therapist Medicare: Medicare Enrolled Practice Location: 1500 Grand Central Ave Ste 101, Vienna, WV 26105 Phone: 304-693-2781 | |
Brittany Lynne Vass, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 1605 Grand Central Ave, Vienna, WV 26105 Phone: 304-295-7290 Fax: 304-295-5922 | |
Andrew Robinson, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 1500 Grand Central Ave, Suite 101, Vienna, WV 26105 Phone: 304-295-3060 Fax: 304-295-3065 | |
Ashley Casto, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1500 Grand Central Ave Ste 101, Vienna, WV 26105 Phone: 304-693-2781 | |
Mr. Chad Copeland, MPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1158 46th St, Vienna, WV 26105 Phone: 304-295-3131 Fax: 304-295-0700 | |
Joseph Alan Trout, PT, DPT, MS, CSCS Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 1500 Grand Central Ave Ste 101, Vienna, WV 26105 Phone: 304-295-3060 | |
Ms. Diana Theresia Benton, MPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1500 Grand Central Ave, Suite 101, Vienna, WV 26105 Phone: 304-295-3060 |