Stuart W Maccollom, PT | |
8140 Bayhaven Dr, Seminole, FL 33776-3321 | |
(727) 546-8900 | |
(727) 546-8940 |
Full Name | Stuart W Maccollom |
---|---|
Gender | Male |
Speciality | Physical Therapy |
Experience | 45 Years |
Location | 8140 Bayhaven Dr, Seminole, Florida |
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 |
---|---|---|---|
1609063494 | NPI | - | NPPES |
010475500 | Medicaid | FL | |
AI939Y | Other | FL | MEDICARE PTAN |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
225100000X | Physical Therapist | PT2912 (Florida) | Primary |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Pinellas Medical Associates, Pa | 7214968791 | 8 |
Provider Name | Pinellas Medical Associates, Pa |
---|---|
Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1285765040 PECOS PAC ID: 7214968791 Enrollment ID: O20050824000710 |
Mailing Address | Practice Location Address |
---|---|
Stuart W Maccollom, PT 8140 Bayhaven Dr, Seminole, FL 33776-3321 Ph: (727) 546-8900 | Stuart W Maccollom, PT 8140 Bayhaven Dr, Seminole, FL 33776-3321 Ph: (727) 546-8900 |
Elaine Rosemary Maccollom, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 8140 Bayhaven Dr, Seminole, FL 33776 Phone: 727-644-0403 Fax: 727-398-1372 | |
Emmett Caskey, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 9387 Seminole Blvd, Seminole, FL 33772 Phone: 727-394-8161 | |
Mr. John Mark Gordon, P.T. Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 9393 Park Blvd, Seminole, FL 33777 Phone: 727-391-2200 | |
Ms. Valerie Doty Harrah, R.P.T. Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 8286 129th Ln, Seminole, FL 33776 Phone: 727-320-8510 | |
Lauren Mott Godfrey, PT, DPT Physical Therapist Medicare: Medicare Enrolled Practice Location: 8333 Seminole Blvd, Seminole, FL 33772 Phone: 727-366-8841 Fax: 727-803-9016 | |
Kyle Romeo, PT, DPT Physical Therapist Medicare: Medicare Enrolled Practice Location: 8333 Seminole Blvd, Seminole, FL 33772 Phone: 727-914-5982 | |
Dr. Tyler Ross, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 11224 Park Blvd, Seminole, FL 33772 Phone: 727-394-0949 |