Randelle K Fuller, MPT | |
15 W 10th Ave, Kennewick, WA 99336-6371 | |
(509) 582-6335 | |
(509) 582-6375 |
Full Name | Randelle K Fuller |
---|---|
Gender | Female |
Speciality | Physical Therapy |
Experience | 23 Years |
Location | 15 W 10th Ave, Kennewick, Washington |
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 |
---|---|---|---|
1023237120 | NPI | - | NPPES |
339545 | Other | WA | L&I |
2043848 | Medicaid | WA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
225100000X | Physical Therapist | PT00010472 (Washington) | Primary |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Tri-city Orthopaedic Clinic Psc | 7618866930 | 18 |
Provider Name | Tri-city Orthopaedic Clinic Psc |
---|---|
Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1215020144 PECOS PAC ID: 7618866930 Enrollment ID: O20040315000166 |
Mailing Address | Practice Location Address |
---|---|
Randelle K Fuller, MPT 8200 W Gage Blvd, Kennewick, WA 99336-8113 Ph: (509) 586-2828 | Randelle K Fuller, MPT 15 W 10th Ave, Kennewick, WA 99336-6371 Ph: (509) 582-6335 |
Terry Kelly Shultz, P.T. Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 1706 W 30th Ave, Kennewick, WA 99337 Phone: 509-582-0789 | |
Jamie L Geris, M.P.T. Physical Therapist Medicare: Medicare Enrolled Practice Location: 2839 W Kennewick Ave # 550, Kennewick, WA 99336 Phone: 509-783-8977 Fax: 509-783-6151 | |
Ryan Mckinney, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 2620 S. Williams Pl., Ste 110, Kennewick, WA 99338 Phone: 509-946-1654 Fax: 509-943-5652 | |
Chad Blankenship, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 8819 W Victoria Ave Ste 110, Kennewick, WA 99336 Phone: 509-783-1851 | |
Dr. Jason L Hanson, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 191 Reata Rd, Kennewick, WA 99338 Phone: 509-579-8812 | |
Justin William Bingman, DPT Physical Therapist Medicare: Medicare Enrolled Practice Location: 3810 Plaza Way, Kennewick, WA 99338 Phone: 509-221-7000 |