Seth Allen Petross, | |
14100 Ranch Road 12 Unit 100, Wimberley, TX 78676 | |
(512) 847-3300 | |
(512) 847-3314 |
Full Name | Seth Allen Petross |
---|---|
Gender | Male |
Speciality | Physical Therapy |
Experience | 6 Years |
Location | 14100 Ranch Road 12 Unit 100, Wimberley, Texas |
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 |
---|---|---|---|
1871072397 | NPI | - | NPPES |
275122769 | Other | TX | PHYSICAL THERAPY |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
225100000X | Physical Therapist | 3122640 (Texas) | Primary |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
2 M Polhemus Llc | 6103092390 | 6 |
Provider Name | 2 M Polhemus Llc |
---|---|
Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
Provider Identifiers | NPI Number: 1467750554 PECOS PAC ID: 6103092390 Enrollment ID: O20120111000036 |
Mailing Address | Practice Location Address |
---|---|
Seth Allen Petross, 14100 Ranch Road 12 Unit 100, Wimberley, TX 78676-0019 Ph: (512) 847-3300 | Seth Allen Petross, 14100 Ranch Road 12 Unit 100, Wimberley, TX 78676 Ph: (512) 847-3300 |
Cheryl R Watson, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 555 Ranch Road 3237, Wimberley, TX 78676 Phone: 512-847-5540 | |
Tanner M Hoffmann, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 14100 Ranch Road 12 Unit 100, Wimberley, TX 78676 Phone: 512-847-3300 Fax: 512-847-3314 | |
Mrs. Erika Brassow, PT Physical Therapist Medicare: Medicare Enrolled Practice Location: 555 Fm 3237, Wimberley, TX 78676 Phone: 512-847-5540 | |
Matthew Anthony Polhemus, PT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 14100 Ranch Road 12, Ste 100, Wimberley, TX 78676 Phone: 512-847-3300 Fax: 512-847-3314 | |
Emily Anthony, DPT, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 555 Ranch Road 3237, Wimberley, TX 78676 Phone: 512-847-5540 | |
Christine B Urban, PHYSICAL THERAPIST Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 115 River Bend Rd, Wimberley, TX 78676 Phone: 281-541-2472 | |
Michael E Dean, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 14100 Ranch Road 12 Unit 100, Wimberley, TX 78676 Phone: 512-847-3300 Fax: 512-847-3314 |