Samir Cardona, | |
2937 S Brentwood Blvd, Saint Louis, MO 63144-2713 | |
(314) 961-3804 | |
Not Available |
Full Name | Samir Cardona |
---|---|
Gender | Male |
Speciality | Physical Therapy |
Experience | 5 Years |
Location | 2937 S Brentwood Blvd, Saint Louis, Missouri |
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 |
---|---|---|---|
1447803820 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
225100000X | Physical Therapist | 2019042031 (Missouri) | Primary |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Paragon Outpatient Rehabilitation Services, Llc | 8022272848 | 238 |
Provider Name | Paragon Outpatient Rehabilitation Services, Llc |
---|---|
Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
Provider Identifiers | NPI Number: 1871867325 PECOS PAC ID: 8022272848 Enrollment ID: O20220822000895 |
Mailing Address | Practice Location Address |
---|---|
Samir Cardona, 600 Oakmont Ln, Ste 600c, Westmont, IL 60559-5548 Ph: (630) 575-1980 | Samir Cardona, 2937 S Brentwood Blvd, Saint Louis, MO 63144-2713 Ph: (314) 961-3804 |
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