Summer Moss, | |
665 Walnut Ave, Vallejo, CA 94592-1177 | |
(707) 556-8921 | |
Not Available |
Full Name | Summer Moss |
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Gender | Female |
Speciality | Physical Therapist |
Location | 665 Walnut Ave, Vallejo, California |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1508489774 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
225100000X | Physical Therapist | 297231 (California) | Primary |
Provider Name | Barman & Sargent Inc |
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Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1225156524 PECOS PAC ID: 2163317025 Enrollment ID: O20040218001197 |
Mailing Address | Practice Location Address |
---|---|
Summer Moss, 503 32nd St, Oakland, CA 94609-3005 Ph: (619) 709-7003 | Summer Moss, 665 Walnut Ave, Vallejo, CA 94592-1177 Ph: (707) 556-8921 |
Dawnielle Owens Vargas, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 47 Michigan St, Vallejo, CA 94590 Phone: 707-315-3761 | |
Mr. Peter B Tan, RPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 765 Sereno Dr, Vallejo, CA 94589 Phone: 707-648-3144 Fax: 707-644-0630 | |
Pat Regan, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 975 Sereno Dr, Vallejo, CA 94589 Phone: 707-651-4755 | |
Cristen Clark, Physical Therapist Medicare: Medicare Enrolled Practice Location: 975 Sereno Dr, Vallejo, CA 94589 Phone: 707-651-4256 | |
Jeremy Allen Jackson, Physical Therapist Medicare: Medicare Enrolled Practice Location: 975 Sereno Dr, Vallejo, CA 94589 Phone: 707-651-4863 | |
Jeannie Kim, PT, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 975 Sereno Dr, Vallejo, CA 94589 Phone: 707-651-4428 | |
Alex Braich, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 975 Sereno Dr, Vallejo, CA 94589 Phone: 707-651-1000 |