| Derek Wax, | |
|
400 S Broadway Ste B, Minot, ND 58701-4403 | |
| (701) 852-5040 | |
| (701) 852-5045 |
| Full Name | Derek Wax |
|---|---|
| Gender | Male |
| Speciality | Physical Therapist In Private Practice |
| Location | 400 S Broadway Ste B, Minot, North 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 |
|---|---|---|---|
| 1295664696 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225100000X | Physical Therapist | 2857 (North Dakota) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| 360 Physical Therapy | 8921404658 | 3 |
| Provider Name | 360 Physical Therapy |
|---|---|
| Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
| Provider Identifiers | NPI Number: 1801463013 PECOS PAC ID: 8921404658 Enrollment ID: O20211027003149 |
| Mailing Address | Practice Location Address |
|---|---|
| Derek Wax, 1650 Lyndon Farm Ct Ste 300, Louisville, KY 40223-5005 Ph: (726) 202-3039 | Derek Wax, 400 S Broadway Ste B, Minot, ND 58701-4403 Ph: (701) 852-5040 |
First Choice Physical Therapy, Inc Physical Therapist Medicare: Medicare Enrolled Practice Location: 2111 Landmark Cir, Suite B, Minot, ND 58703 Phone: 701-839-4102 Fax: 701-838-9603 |
Kayla R Lambrecht, PT, DPT Physical Therapist Medicare: Medicare Enrolled Practice Location: 2111 Landmark Cir Nw # B, Minot, ND 58703 Phone: 701-839-4102 |
Logan Petznick, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 2900 10th St Sw Ste A, Minot, ND 58701 Phone: 701-839-4102 |
Jessica Fossen, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 101 3rd Ave Sw, Minot, ND 58701 Phone: 701-857-5286 Fax: 701-857-5694 |
Aundrea Riehl, PT/DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 101 3rd Ave Sw, Minot, ND 58701 Phone: 701-857-5286 Fax: 701-857-5694 |
Mrs. Patricia A Gerszewski, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 215 2nd St Se, Minot, ND 58701 Phone: 701-857-4410 |
Mrs. Aimee Christine Clemens, PT, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1 Burdick Expy W, Minot, ND 58701 Phone: 701-857-5105 Fax: 701-857-5646 |