| Dr Michael Shane Gosnell, PT, DPT | |
|
804 S 16th St, Mattoon, IL 61938-5620 | |
| (217) 460-0910 | |
| Not Available |
| Full Name | Dr Michael Shane Gosnell |
|---|---|
| Gender | Male |
| Speciality | Physical Therapist In Private Practice |
| Experience | 14 Years |
| Location | 804 S 16th St, Mattoon, Illinois |
| 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 |
|---|---|---|---|
| 1699020305 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225100000X | Physical Therapist | 070018869 (Illinois) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Savoy Therapy Services Inc | 8921260506 | 10 |
| Provider Name | Savoy Therapy Services Inc |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1992078471 PECOS PAC ID: 8921260506 Enrollment ID: O20120426000422 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Michael Shane Gosnell, PT, DPT 804 S 16th St, Mattoon, IL 61938-5620 Ph: (217) 460-0910 | Dr Michael Shane Gosnell, PT, DPT 804 S 16th St, Mattoon, IL 61938-5620 Ph: (217) 460-0910 |
Kendall Giles, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1004 Health Center Dr, Mattoon, IL 61938 Phone: 217-258-2530 Fax: 217-258-4176 | |
Jennifer Uberfluss, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1000 Health Center Dr, Mattoon, IL 61938 Phone: 217-258-2525 | |
Elizabeth H Jensen, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1000 Health Center Dr, Mattoon, IL 61938 Phone: 217-235-3121 Fax: 217-235-3122 | |
Douglas A Henness, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1000 Health Center Dr, Mattoon, IL 61938 Phone: 217-258-2530 Fax: 217-258-4176 | |
Central Illinois Physical Therapy Professionals, Ltd Physical Therapist Medicare: Medicare Enrolled Practice Location: 100 Professional Plz, Mattoon, IL 61938 Phone: 217-345-1245 Fax: 217-345-1253 | |
Teri Lyn Miller, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1000 Health Center Dr, Mattoon, IL 61938 Phone: 217-258-2525 | |
Carla A Thomas, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1000 Health Center Dr, Mattoon, IL 61938 Phone: 217-258-2525 |