Stefano Pezzino, | |
10701 Alliance Dr Ste D, Camby, IN 46113-8837 | |
(317) 821-3740 | |
(317) 821-3750 |
Full Name | Stefano Pezzino |
---|---|
Gender | Male |
Speciality | Physical Therapy |
Experience | 2 Years |
Location | 10701 Alliance Dr Ste D, Camby, Indiana |
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 |
---|---|---|---|
1902533961 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
225100000X | Physical Therapist | 05014635A (Indiana) | Secondary |
225100000X | Physical Therapist | (* (Not Available)) | Primary |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Advanced Physical Therapy Llc | 6002959525 | 150 |
Provider Name | Advanced Physical Therapy Llc |
---|---|
Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
Provider Identifiers | NPI Number: 1316940505 PECOS PAC ID: 6002959525 Enrollment ID: O20111006000030 |
Mailing Address | Practice Location Address |
---|---|
Stefano Pezzino, 790 Remington Blvd, Bolingbrook, IL 60440-4909 Ph: () - | Stefano Pezzino, 10701 Alliance Dr Ste D, Camby, IN 46113-8837 Ph: (317) 821-3740 |
Logen K Harris, Physical Therapist Medicare: Medicare Enrolled Practice Location: 10302 Prosperity Cir, Camby, IN 46113 Phone: 317-548-4172 | |
Dr. Bethany Brown, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 10701 Alliance Dr Ste D, Camby, IN 46113 Phone: 317-821-3740 Fax: 317-821-3750 | |
Kimberly Shrum, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 10799 Alliance Dr, Camby, IN 46113 Phone: 317-855-6123 | |
Alexander Stavretis, Physical Therapist Medicare: Medicare Enrolled Practice Location: 10302 Prosperity Cir Ste 101, Camby, IN 46113 Phone: 317-548-4172 Fax: 317-548-8308 | |
Sue Ann Klinger, P.T. Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 10701 Alliance Dr, Suite D, Camby, IN 46113 Phone: 317-821-3740 Fax: 317-821-3750 | |
Lisa Jane Hinders, P.T. Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 10701 Alliance Dr Ste D, Camby, IN 46113 Phone: 317-821-3740 Fax: 317-821-3750 | |
Jewel Kristine Horton, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 10701 Alliance Dr, Suite D, Camby, IN 46113 Phone: 317-821-3740 Fax: 317-821-3750 |