| Mr Stephen J Daillak, RPT | |
|
1191 Creston Rd Ste 115, Paso Robles, CA 93446-3033 | |
| (805) 239-3696 | |
| (805) 239-3697 |
| Full Name | Mr Stephen J Daillak |
|---|---|
| Gender | Male |
| Speciality | Physical Therapist In Private Practice |
| Experience | 24 Years |
| Location | 1191 Creston Rd Ste 115, Paso Robles, California |
| 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 |
|---|---|---|---|
| 1497813133 | NPI | - | NPPES |
| OPT271750 | Other | CA | BLUE SHIELD |
| ZZZ06333Z | Other | CA | BLUE SHIELD GROUP |
| PT27175 | Other | CA | BLUE CROSS |
| GPT001411 | Medicaid | CA | |
| PT27175 | Other | CA | TRICARE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208100000X | Physical Medicine & Rehabilitation | PT27175 (California) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| North County Physical Therapy Inc | 4688605470 | 4 |
| Entity Name | North County Physical Therapy Inc |
|---|---|
| Entity Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
| Entity Identifiers | NPI Number: 1649445180 PECOS PAC ID: 4688605470 Enrollment ID: O20051214000870 |
| Mailing Address | Practice Location Address |
|---|---|
| Mr Stephen J Daillak, RPT 1191 Creston Rd Ste 115, Paso Robles, CA 93446-3033 Ph: (805) 239-3696 | Mr Stephen J Daillak, RPT 1191 Creston Rd Ste 115, Paso Robles, CA 93446-3033 Ph: (805) 239-3696 |
Maryann T Vesnaver, PT Physical Medicine & Rehabilitation Medicare: Not Enrolled in Medicare Practice Location: 1191 Creston Rd Ste 115, Paso Robles, CA 93446 Phone: 805-239-3696 | |
Denise M Stanley, PTA Physical Medicine & Rehabilitation Medicare: Not Enrolled in Medicare Practice Location: 1191 Creston Rd Ste 115, Paso Robles, CA 93446 Phone: 805-239-3696 | |
Mrs. Mary Ann Burke, RPT Physical Medicine & Rehabilitation Medicare: Accepting Medicare Assignments Practice Location: 1191 Creston Rd. #115, Paso Robles, CA 93446 Phone: 805-227-4156 Fax: 805-227-4899 |