| Chad Spencer Neubauer, DPT | |
|
450 W State St Ste 270, Eagle, ID 83616-6974 | |
| (208) 462-0808 | |
| (208) 516-4488 |
| Full Name | Chad Spencer Neubauer |
|---|---|
| Gender | Male |
| Speciality | Physical Therapist In Private Practice |
| Experience | 6 Years |
| Location | 450 W State St Ste 270, Eagle, Idaho |
| 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 |
|---|---|---|---|
| 1619398393 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225100000X | Physical Therapist | PT-6738 (Idaho) | Primary |
| 246ZE0600X | Specialist/technologist, Other - Electroneurodiagnostic | (NU) | Secondary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Mrc Llc | 0648528570 | 3 |
| Provider Name | Therapeutic Associates Inc |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1487630240 PECOS PAC ID: 0042116279 Enrollment ID: O20040515000415 |
| Provider Name | Mrc LLC |
|---|---|
| Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
| Provider Identifiers | NPI Number: 1295234367 PECOS PAC ID: 0648528570 Enrollment ID: O20180808002818 |
| Mailing Address | Practice Location Address |
|---|---|
| Chad Spencer Neubauer, DPT 1940 S Bonito Way Ste 190, Meridian, ID 83642-5618 Ph: (208) 287-9420 | Chad Spencer Neubauer, DPT 450 W State St Ste 270, Eagle, ID 83616-6974 Ph: (208) 462-0808 |
Allison Andrews Boldridge, P.T. Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 77 N Fisher Park Way, Eagle, ID 83616 Phone: 208-297-3039 |
Serin Kim, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 77 N Fisher Park Way, Eagle, ID 83616 Phone: 208-297-3039 Fax: 208-416-6635 |
Cameron Daron, Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 645 E State St, Eagle, ID 83616 Phone: 208-939-9594 |
Kathryn L Stednitz, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 21 N Fisher Park Way, Eagle, ID 83616 Phone: 208-514-0670 |
Christopher Fox, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 645 E State St Ste 101, Eagle, ID 83616 Phone: 208-939-9594 Fax: 208-939-9828 |
Ryan Heilman, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 457 S Fitness Pl Ste 100, Eagle, ID 83616 Phone: 208-939-3332 Fax: 208-939-3338 |
Emily Verheijen, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 507 S Fitness Pl Ste 110, Eagle, ID 83616 Phone: 208-629-1030 Fax: 208-346-7618 |