Scott Haefele, | |
8242 22nd Ave N, St Petersburg, FL 33710-3614 | |
(727) 344-0891 | |
Not Available |
Full Name | Scott Haefele |
---|---|
Gender | Male |
Speciality | Physical Therapist |
Location | 8242 22nd Ave N, St Petersburg, Florida |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1144493776 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
225100000X | Physical Therapist | PT15109 (Florida) | Primary |
Provider Name | Aegis Group Practice Llc |
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Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1740720002 PECOS PAC ID: 5193036432 Enrollment ID: O20170720002185 |
Mailing Address | Practice Location Address |
---|---|
Scott Haefele, 8242 22nd Ave N, St Petersburg, FL 33710-3614 Ph: () - | Scott Haefele, 8242 22nd Ave N, St Petersburg, FL 33710-3614 Ph: (727) 344-0891 |
Purpose Physical Therapy Physical Therapist Medicare: Medicare Enrolled Practice Location: 6619 1st Ave S, St Petersburg, FL 33707 Phone: 417-315-5777 | |
Mrs. Cynthia Ann Driver Saldanha, PT Physical Therapist Medicare: Medicare Enrolled Practice Location: 801 6th St S, St Petersburg, FL 33701 Phone: 727-767-8093 Fax: 727-767-4004 | |
Alliance Sports Rehab Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 111 2nd Ave Ne Ste 1401, St Petersburg, FL 33701 Phone: 727-258-7224 | |
Danielle Marie Wanek, PT, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 100 1st Ave N Unit 4201, St Petersburg, FL 33701 Phone: 608-772-7727 | |
Bao-quyen Nguyen, PT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 260 1st Ave S Ste 200-161, St Petersburg, FL 33701 Phone: 727-803-1102 | |
Kimberley D Carson, P.T., D.P.T Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 501 6th Ave S, St Petersburg, FL 33701 Phone: 727-767-6913 Fax: 727-767-6757 | |
Aegis Group Practice Llc Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 3600 34th St S, St Petersburg, FL 33711 Phone: 800-444-6845 Fax: 479-478-2852 |