| Corey Gordon Abbas, PT | |
|
500 Cross St, Big Stone City, SD 57216-8237 | |
| (605) 541-1140 | |
| (605) 541-0109 |
| Full Name | Corey Gordon Abbas |
|---|---|
| Gender | Male |
| Speciality | Physical Therapist In Private Practice |
| Experience | 7 Years |
| Location | 500 Cross St, Big Stone City, South Dakota |
| 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 |
|---|---|---|---|
| 1134777113 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225100000X | Physical Therapist | LPT-32275 (Arizona) | Secondary |
| 225100000X | Physical Therapist | 11636 (Minnesota) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Park Nicollet Clinic | 7911819438 | 1611 |
| Provider Name | Park Nicollet Clinic |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1780621904 PECOS PAC ID: 7911819438 Enrollment ID: O20031104000046 |
| Provider Name | Tria Orthopaedic Center Llc |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1518273085 PECOS PAC ID: 3173570561 Enrollment ID: O20110310000999 |
| Mailing Address | Practice Location Address |
|---|---|
| Corey Gordon Abbas, PT 500 Cross St, Big Stone City, SD 57216-8237 Ph: (605) 541-1140 | Corey Gordon Abbas, PT 500 Cross St, Big Stone City, SD 57216-8237 Ph: (605) 541-1140 |
Wade Vandover, P.T. Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 500 Cross St, Big Stone City, SD 57216 Phone: 605-541-1115 Fax: 605-541-0109 | |
John M Bates, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 500 Cross St, Big Stone City, SD 57216 Phone: 605-541-1140 Fax: 605-541-0109 | |
Jenna Behnken, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 500 Cross St, Big Stone City, SD 57216 Phone: 605-541-1140 Fax: 605-541-0109 |