| James Richard Hitchcock, | |
|
717 S State St, Suite 900, Fairmont, MN 56031-4469 | |
| (507) 238-4949 | |
| (507) 238-3377 |
| Full Name | James Richard Hitchcock |
|---|---|
| Gender | Male |
| Speciality | Physical Therapist |
| Location | 717 S State St, Fairmont, Minnesota |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1124052659 | NPI | - | NPPES |
| HP88102 | Other | HEALTHPARTNERS | |
| 615P0HI | Other | MN | BLUE CROSS BLUE SHIELD |
| 20026 | Other | AVERA | |
| 65451 | Other | SANFORD HEALTH | |
| 974311053869 | Other | PREFERREDONE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225100000X | Physical Therapist | (* (Not Available)) | Primary |
| Provider Name | Madelia Health |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1912999137 PECOS PAC ID: 1254230816 Enrollment ID: O20071101000708 |
| Mailing Address | Practice Location Address |
|---|---|
| James Richard Hitchcock, 502 Harrison St, Red Wing, MN 55066-2053 Ph: () - | James Richard Hitchcock, 717 S State St, Suite 900, Fairmont, MN 56031-4469 Ph: (507) 238-4949 |
Dr. Catherine G Johnson, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 800 Medical Center Dr, Fairmont, MN 56031 Phone: 507-238-8196 | |
Jae Eccher, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 800 Medical Center Dr, Fairmont, MN 56031 Phone: 507-238-8196 | |
Mrs. Heather Duncan, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: Po Box 835, Fairmont, MN 56031 Phone: 507-238-8196 | |
Bradley Lowell Musser, PT Physical Therapist Medicare: Medicare Enrolled Practice Location: 717 S State St Ste 900, Fairmont, MN 56031 Phone: 507-238-4949 Fax: 507-238-3365 | |
Shelley Busche, MSPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 800 Medical Center Dr, Fairmont, MN 56031 Phone: 507-238-8196 | |
Melissa Jean Sanvig, MSPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 800 Medical Center Dr, Fairmont, MN 56031 Phone: 507-238-8196 |