Stacie Banzon, | |
1145 Dunbar Avenue, Dunbar, WV 25064-2506 | |
(304) 400-4896 | |
Not Available |
Full Name | Stacie Banzon |
---|---|
Gender | Female |
Speciality | Physical Therapy |
Experience | 5 Years |
Location | 1145 Dunbar Avenue, Dunbar, West Virginia |
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 |
---|---|---|---|
1386247336 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
225100000X | Physical Therapist | (West Virginia) | Primary |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Dunbar Therapy Center Llc | 3375779275 | 2 |
Dunbar Physical Therapy Llc | 4981047891 | 2 |
Provider Name | Dunbar Therapy Center Llc |
---|---|
Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
Provider Identifiers | NPI Number: 1508291477 PECOS PAC ID: 3375779275 Enrollment ID: O20131125001049 |
Provider Name | Dunbar Physical Therapy Llc |
---|---|
Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
Provider Identifiers | NPI Number: 1063198851 PECOS PAC ID: 4981047891 Enrollment ID: O20240207004273 |
Mailing Address | Practice Location Address |
---|---|
Stacie Banzon, Po Box 398, Salt Rock, WV 25559-0398 Ph: () - | Stacie Banzon, 1145 Dunbar Avenue, Dunbar, WV 25064-2506 Ph: (304) 400-4896 |
Sarah Elizabeth Humble, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1313 Dunbar Ave, Dunbar, WV 25064 Phone: 304-400-4896 | |
Kvptc, Llc Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1313 Dunbar Ave, Dunbar, WV 25064 Phone: 304-768-3307 Fax: 304-768-3620 | |
Wesley Guyle Jett, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 501 Caldwell Ln, Dunbar, WV 25064 Phone: 304-744-4761 | |
Jennifer Diane Moore, PT, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 501 Caldwell Ln, Dunbar, WV 25064 Phone: 304-744-4761 | |
Eulalio Albis, PHYSICAL THERAPIST Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1313 Dunbar Avenue, Dunbar, WV 25064 Phone: 304-768-3307 |