Stacie Michelle Gehron Cornwell, DPT | |
830 Falls Creek Dr, Vandalia, OH 45377-8600 | |
(937) 890-9235 | |
(937) 890-9239 |
Full Name | Stacie Michelle Gehron Cornwell |
---|---|
Gender | Female |
Speciality | Physical Therapy |
Experience | 13 Years |
Location | 830 Falls Creek Dr, Vandalia, Ohio |
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 |
---|---|---|---|
1366736522 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
225100000X | Physical Therapist | PT013217 (Ohio) | Primary |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Athletico Ltd | 4789602681 | 1963 |
Provider Name | Athletico Ltd |
---|---|
Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
Provider Identifiers | NPI Number: 1821085028 PECOS PAC ID: 4789602681 Enrollment ID: O20200526001453 |
Mailing Address | Practice Location Address |
---|---|
Stacie Michelle Gehron Cornwell, DPT 830 Falls Creek Dr, Vandalia, OH 45377-8600 Ph: (937) 890-9235 | Stacie Michelle Gehron Cornwell, DPT 830 Falls Creek Dr, Vandalia, OH 45377-8600 Ph: (937) 890-9235 |
Melissa Mitchell, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 830 Falls Creek Dr, Vandalia, OH 45377 Phone: 937-890-9235 Fax: 937-890-9239 | |
Carolyn Elizabeth Wise, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 830 Falls Creek Dr, Vandalia, OH 45377 Phone: 937-890-9235 Fax: 937-890-9239 | |
Darren Jeffers, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 205 W National Rd Ste B, Vandalia, OH 45377 Phone: 937-280-0047 Fax: 937-200-1128 | |
Michelle Smith, DPT Physical Therapist Medicare: Medicare Enrolled Practice Location: 205 W National Rd Ste B, Vandalia, OH 45377 Phone: 937-280-0047 Fax: 937-200-1128 | |
Benjamin David Ruggles, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 830 Falls Creek Dr, Vandalia, OH 45377 Phone: 937-890-9235 | |
David Gabriel, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 830 Falls Creek Dr, Vandalia, OH 45377 Phone: 937-890-9235 Fax: 937-890-9239 | |
Noah Alexander Ogle, PT Physical Therapist Medicare: Medicare Enrolled Practice Location: 830 Falls Creek Dr, Vandalia, OH 45377 Phone: 937-890-9235 |