Sergio I Macias, PT | |
1233 N Main Street, Suite 10, 11 & 12, San Luis, AZ 85349-9999 | |
(928) 722-6050 | |
(928) 722-6094 |
Full Name | Sergio I Macias |
---|---|
Gender | Male |
Speciality | Physical Therapy |
Experience | 31 Years |
Location | 1233 N Main Street, San Luis, Arizona |
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 |
---|---|---|---|
1578570081 | NPI | - | NPPES |
P00029832 | Other | AZ | MEDICARE RAILROAD |
556524 | Medicaid | AZ |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
225100000X | Physical Therapist | 4229 (Arizona) | Primary |
332B00000X | Durable Medical Equipment & Medical Supplies | C001071 (Arizona) | Secondary |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Adult And Pediatric Rehabilitation | 9133378789 | 2 |
Provider Name | Adult And Pediatric Rehabilitation |
---|---|
Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
Provider Identifiers | NPI Number: 1114274784 PECOS PAC ID: 9133378789 Enrollment ID: O20120926000039 |
Mailing Address | Practice Location Address |
---|---|
Sergio I Macias, PT Po Box 5841, Yuma, AZ 85366-2490 Ph: (928) 343-7911 | Sergio I Macias, PT 1233 N Main Street, Suite 10, 11 & 12, San Luis, AZ 85349-9999 Ph: (928) 722-6050 |
Adult And Pediatric Rehabilitation Physical Therapist Medicare: Medicare Enrolled Practice Location: 1453 N Main Street, 7, San Luis, AZ 85349 Phone: 928-722-6050 Fax: 928-722-6094 | |
Ms. Robin Harrison, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1453 Main Street N, San Luis, AZ 85349 Phone: 928-627-1001 | |
Maria Camila Macias, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 1233 N. Main Street, Suite 10, 11, 12, San Luis, AZ 85349 Phone: 928-722-6050 |