| Dwayne Patrick Bonvillain, DPT | |
|
3615 Hospital St Ste B, Pascagoula, MS 39581-4112 | |
| (228) 762-1602 | |
| Not Available |
| Full Name | Dwayne Patrick Bonvillain |
|---|---|
| Gender | Male |
| Speciality | Physical Therapist In Private Practice |
| Experience | 17 Years |
| Location | 3615 Hospital St Ste B, Pascagoula, Mississippi |
| 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 |
|---|---|---|---|
| 1538723564 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2251S0007X | Physical Therapist - Sports | PT4504 (Mississippi) | Secondary |
| 2251X0800X | Physical Therapist - Orthopedic | PT4504 (Mississippi) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Encore Rehabilitation, Inc | 3577462126 | 164 |
| Provider Name | Encore Rehabilitation, Inc |
|---|---|
| Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
| Provider Identifiers | NPI Number: 1003819608 PECOS PAC ID: 3577462126 Enrollment ID: O20051103001194 |
| Mailing Address | Practice Location Address |
|---|---|
| Dwayne Patrick Bonvillain, DPT 3615 Hospital St Ste B, Pascagoula, MS 39581-4112 Ph: (228) 762-1602 | Dwayne Patrick Bonvillain, DPT 3615 Hospital St Ste B, Pascagoula, MS 39581-4112 Ph: (228) 762-1602 |
Gulf Coast Physical Therapy Centers Pa Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 926 Jackson Ave, Pascagoula, MS 39567 Phone: 228-762-0151 Fax: 228-762-0171 | |
Brandon S Cloud, PT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 3615 Hospital St Ste B, Pascagoula, MS 39581 Phone: 228-215-2260 Fax: 228-215-2261 | |
Mrs. Pamela Michele Craft, P.T. Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 3101 Denny Ave, Pascagoula, MS 39581 Phone: 228-471-1544 Fax: 228-471-1548 | |
Physical Therapy Professionals Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 2900 Melton Ave, Pascagoula, MS 39581 Phone: 228-696-9946 Fax: 228-696-9917 | |
Aaron F Pettis, P.T. Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 926 Jackson Ave, Pascagoula, MS 39567 Phone: 228-762-0151 | |
Katelin Caraway, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 3101 Denny Ave, Pascagoula, MS 39581 Phone: 228-471-1521 | |
Ms. Ann C Godfrey, PT CMDT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 2838 Andrew St, Pascagoula, MS 39567 Phone: 228-762-2345 Fax: 228-762-2365 |