Sean Weaver, | |
1901a Mission 66, Vicksburg, MS 39180-3711 | |
(601) 636-0097 | |
Not Available |
Full Name | Sean Weaver |
---|---|
Gender | Male |
Speciality | Physical Therapy |
Experience | 6 Years |
Location | 1901a Mission 66, Vicksburg, Mississippi |
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 |
---|---|---|---|
1730669318 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
225100000X | Physical Therapist | (* (Not Available)) | Primary |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Elite Performance And Rehab, Llc | 8729361076 | 5 |
Provider Name | Elite Performance And Rehab, Llc |
---|---|
Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
Provider Identifiers | NPI Number: 1255877346 PECOS PAC ID: 8729361076 Enrollment ID: O20170210000624 |
Mailing Address | Practice Location Address |
---|---|
Sean Weaver, 1901a Mission 66, Vicksburg, MS 39180-3711 Ph: (601) 636-0097 | Sean Weaver, 1901a Mission 66, Vicksburg, MS 39180-3711 Ph: (601) 636-0097 |
Covenant Health & Rehab Of Vicksburg, Llc Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 2850 Porters Chapel Rd, Vicksburg, MS 39180 Phone: 601-638-9211 Fax: 601-636-4986 | |
Laura Jeanne Briggs, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1901-a Mission 66, Vicksburg, MS 39180 Phone: 601-638-4076 Fax: 601-638-4979 | |
United Rehab Associates, Llc Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1990 S Frontage Rd Ste J, Vicksburg, MS 39180 Phone: 601-883-1983 Fax: 601-883-1938 | |
Douglas Hohman, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1901a Mission 66, Vicksburg, MS 39180 Phone: 601-634-4076 Fax: 601-883-2232 | |
Virginia Wilson Duke, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1901a Mission 66, Vicksburg, MS 39180 Phone: 601-634-4076 Fax: 601-883-2232 | |
Mrs. Sandra K Raines, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1901a Mission 66, Vicksburg, MS 39180 Phone: 601-638-5518 | |
Matthew S Buntyn, DPT Physical Therapist Medicare: Medicare Enrolled Practice Location: 2480 S Frontage Rd Ste F, Vicksburg, MS 39180 Phone: 601-757-9799 |