| Mr Rick Nelson Prothero, PT | |
|
807a S Union Ave, Havre De Grace, MD 21078-3610 | |
| (410) 939-2262 | |
| (410) 939-7119 |
| Full Name | Mr Rick Nelson Prothero |
|---|---|
| Gender | Male |
| Speciality | Physical Therapist In Private Practice |
| Experience | 49 Years |
| Location | 807a S Union Ave, Havre De Grace, Maryland |
| 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 |
|---|---|---|---|
| 1306846985 | NPI | - | NPPES |
| 650020355 | Other | MD | RAILROAD MEDICARE |
| 391101200 | Medicaid | MD |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2251X0800X | Physical Therapist - Orthopedic | 14518 (Maryland) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Smith And Prothero Physical Therapy Llc | 9335155860 | 8 |
| Provider Name | Smith & Prothero Physical Therapy Llc |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1942200621 PECOS PAC ID: 9335155860 Enrollment ID: O20060221000794 |
| Mailing Address | Practice Location Address |
|---|---|
| Mr Rick Nelson Prothero, PT 807a S Union Ave, Havre De Grace, MD 21078-3610 Ph: (410) 939-2262 | Mr Rick Nelson Prothero, PT 807a S Union Ave, Havre De Grace, MD 21078-3610 Ph: (410) 939-2262 |
Mrs. Kelly Fulp, P.T. Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 701 Revolution St, Havre De Grace, MD 21078 Phone: 410-939-4334 | |
Madison Brooke Tamberino, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 251 Lewis Ln Ste 104, Havre De Grace, MD 21078 Phone: 410-939-8530 | |
Mr. Donovan Rochlitz Clifford, MSPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 2027 Pulaski Hwy, Ste 119, Havre De Grace, MD 21078 Phone: 410-939-0520 | |
Morgan Day, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1501 Blenhiem Farm Ln, Havre De Grace, MD 21078 Phone: 410-939-9300 | |
Mrs. Cynthia Mathewson Olivacz, P.T. Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 701 Revolution St, Havre De Grace, MD 21078 Phone: 410-939-4334 Fax: 410-939-0530 | |
Dr. Audrey Werneke, PT, DPT Physical Therapist Medicare: Medicare Enrolled Practice Location: 251 Lewis Ln Ste 104, Havre De Grace, MD 21078 Phone: 866-370-8206 Fax: 410-939-8534 |