Matthew Richard Bass, PT, DPT | |
8 Mdg, Unit 2022, Apo, AP 96264-2022 | |
(315) 782-4786 | |
Not Available |
Full Name | Matthew Richard Bass |
---|---|
Gender | Male |
Speciality | Physical Therapist - Orthopedic |
Location | 8 Mdg, Apo, Armed Forces Pacific |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1194334862 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
225100000X | Physical Therapist | 17033 (Colorado) | Secondary |
2251X0800X | Physical Therapist - Orthopedic | 17033 (Colorado) | Primary |
Provider Name | Panorama Orthopedics And Spine Center Pc |
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Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1295787950 PECOS PAC ID: 8426961087 Enrollment ID: O20031110000424 |
Mailing Address | Practice Location Address |
---|---|
Matthew Richard Bass, PT, DPT 402 E Liberty Dr, Wheaton, IL 60187-5511 Ph: (720) 592-5310 | Matthew Richard Bass, PT, DPT 8 Mdg, Unit 2022, Apo, AP 96264-2022 Ph: (315) 782-4786 |
Doris Nieves, DPT Physical Therapist Medicare: Medicare Enrolled Practice Location: Bdaach/549th Hc Usag Humphreys Bldg. #3030, Unit #15245, Apo, AP 96271 Phone: 011-822-7917 | |
Dr. Lisa Ferguson Bolin, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 374 Medical Air Group, Unit 5071, Apo, AP 96328 Phone: 315-225-7508 Fax: 315-225-8975 | |
Nicholas Victor Oberholtzer, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: Brian D. Allgood Army Community Hospital (bdaach), Unit #15245; Bldg 3031, Apo, AP 96271 Phone: 717-318-0829 | |
Heidi Edwards, PT, DPT, SCS, COMT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 51st Medical Group, Unit 2060, Apo, AP 96278 Phone: 315-784-4512 | |
Mychelle Phan, PT, DPT, OCS Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 51st Medical Group, Unit 2060, Apo, AP 96278 Phone: 315-784-2157 | |
Colton Alexander Hust, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: Bdaach, 549th Hc, Unit 15245, Apo, AP 96271 Phone: 315-737-2027 | |
Dr. Brian C Mansfield, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: Brian D. Allgood Army Community Hosptial (bdaach), Unit 15245, Apo, AP 96271 Phone: 315-737-2607 |