| Douglas L Bates, PT | |
|
2210b Mill Street Ext, Lucedale, MS 39452-6064 | |
| (601) 947-9005 | |
| (601) 947-9007 |
| Full Name | Douglas L Bates |
|---|---|
| Gender | Male |
| Speciality | Physical Therapist |
| Location | 2210b Mill Street Ext, Lucedale, Mississippi |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1730108655 | NPI | - | NPPES |
| 09015077 | Medicaid | MS | |
| 1033218524 | Other | MS | GROUP NPI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225100000X | Physical Therapist | PT0939 (Mississippi) | Primary |
| Provider Name | Encore Rehabilitation, Inc |
|---|---|
| Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
| Provider Identifiers | NPI Number: 1033218524 PECOS PAC ID: 3577462126 Enrollment ID: O20121106000516 |
| Mailing Address | Practice Location Address |
|---|---|
| Douglas L Bates, PT Po Box 8419, Biloxi, MS 39535-8087 Ph: (228) 388-5714 | Douglas L Bates, PT 2210b Mill Street Ext, Lucedale, MS 39452-6064 Ph: (601) 947-9005 |
Jeanne S Weeks, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 2210 Mill Street Ext # B, Lucedale, MS 39452 Phone: 601-947-9005 Fax: 601-947-9007 | |
Kerri K Romeo, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 2210 Mill Street Ext # B, Lucedale, MS 39452 Phone: 601-947-9005 Fax: 601-947-9007 | |
Erin C Moody, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 2210 Mill Street Ext # B, Lucedale, MS 39452 Phone: 601-947-9005 Fax: 601-947-9007 | |
James M Hunt, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 2210 Mill Street Ext # B, Lucedale, MS 39452 Phone: 601-947-9005 Fax: 601-947-9007 | |
Lauren H Smith, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 2210 Mill Street Ext # B, Lucedale, MS 39452 Phone: 601-947-9005 Fax: 601-947-9007 | |
Valerie S Sullivan, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 2210b Mill Street Ext, Lucedale, MS 39452 Phone: 601-947-9005 Fax: 601-947-9007 | |
Mrs. Susan H. Hewlett, RPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 2210 Mill Street Ext Ste B, Lucedale, MS 39452 Phone: 601-947-9005 Fax: 601-947-9007 |