| David Wallace, | |
|
275 Mount Carmel Ave, Hamden, CT 06518-1908 | |
| (203) 582-8234 | |
| Not Available |
| Full Name | David Wallace |
|---|---|
| Gender | Male |
| Speciality | Physical Therapist In Private Practice |
| Experience | 31 Years |
| Location | 275 Mount Carmel Ave, Hamden, Connecticut |
| 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 |
|---|---|---|---|
| 1326934811 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2251G0304X | Physical Therapist - Geriatrics | 005919 (Connecticut) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Rehab By Rvna Llc | 2466747019 | 25 |
| Rvnahealth, Inc | 7416990569 | 29 |
| Provider Name | Rvnahealth, Inc |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1497758874 PECOS PAC ID: 7416990569 Enrollment ID: O20151214000108 |
| Provider Name | Rehab by Rvna LLC |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1285082099 PECOS PAC ID: 2466747019 Enrollment ID: O20160823000246 |
| Mailing Address | Practice Location Address |
|---|---|
| David Wallace, 275 Mount Carmel Ave, Hamden, CT 06518-1908 Ph: (203) 582-8234 | David Wallace, 275 Mount Carmel Ave, Hamden, CT 06518-1908 Ph: (203) 582-8234 |
Sarah Elizabeth Townsend-grant, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 2285 Whitney Ave, Hamden, CT 06518 Phone: 203-288-6977 Fax: 203-230-8444 |
Jane Kircaldie, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 2408 Whitney Ave, Hamden, CT 06518 Phone: 203-407-3590 Fax: 203-407-3595 |
Dr. Diana L Brassell, DPT Physical Therapist Medicare: May Accept Medicare Assignments Practice Location: 1450 Whitney Ave, Hamden, CT 06517 Phone: 203-248-8880 |
Cynthia Gonzalez, RPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 60 Connolly Pkwy, Bldg. 17, Hamden, CT 06514 Phone: 203-230-2815 Fax: 203-230-8502 |
Merin Mathew, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 850 Mix Ave, Hamden, CT 06514 Phone: 203-281-3500 |
Lisa M Koczak, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 2416 Whitney Ave, Second Floor, Hamden, CT 06518 Phone: 203-407-3590 Fax: 203-466-8527 |
Eric Lagoy, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1952 Whitney Ave, Hamden, CT 06517 Phone: 203-672-9227 |