| Dr Stephen J Baciak Ii, DPT | |
|
650 Joel Drive, Fort Campbell, KY 42223 | |
| (555) 321-4567 | |
| Not Available |
| Full Name | Dr Stephen J Baciak Ii |
|---|---|
| Gender | Male |
| Speciality | Physical Therapist In Private Practice |
| Experience | 16 Years |
| Location | 650 Joel Drive, Fort Campbell, Kentucky |
| 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 |
|---|---|---|---|
| 1326316001 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225100000X | Physical Therapist | PT 26233 (Florida) | Secondary |
| 225100000X | Physical Therapist | 12100 (Connecticut) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Dg Physical Therapy Pc | 0143503680 | 45 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Stephen J Baciak Ii, DPT 650 Joel Drive, Fort Campbell, KY 42223 Ph: () - | Dr Stephen J Baciak Ii, DPT 650 Joel Drive, Fort Campbell, KY 42223 Ph: (555) 321-4567 |
Mackenzie Jones, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 650 Joel Dr, Fort Campbell, KY 42223 Phone: 270-798-8823 | |
Kasey Marie Phillips, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 650 Joel Dr, Fort Campbell, KY 42223 Phone: 931-308-8472 | |
Patricia Stacie Barlow, PT, ATC,OCS Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 650 Joel Dr, Fort Campbell, KY 42223 Phone: 270-956-1995 | |
Lydia Wright, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 650 Joel Dr, Fort Campbell, KY 42223 Phone: 270-298-4945 | |
Phillip Bradley Burgess, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 650 Joel Dr, Fort Campbell, KY 42223 Phone: 270-798-8727 Fax: 423-665-4381 | |
Erica Michelle Fallon, PT, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 650 Joel Dr, Fort Campbell, KY 42223 Phone: 270-798-8102 | |
Mr. Kevin Jon Pufall, P.T. Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 650 Joel Dr, Fort Campbell, KY 42223 Phone: 270-412-8686 |