| Keith William Lancaster, DPT | |
|
1310 Manchester Ave, Wabash, IN 46992-1615 | |
| (260) 563-5630 | |
| Not Available |
| Full Name | Keith William Lancaster |
|---|---|
| Gender | Male |
| Speciality | Physical Therapist In Private Practice |
| Experience | 21 Years |
| Location | 1310 Manchester Ave, Wabash, Indiana |
| Accepts Medicare Assignments | May be. He may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1447377304 | NPI | - | NPPES |
| 05004606A | Other | IN | PHYSICAL THERAPY LICENSE |
| 000000352156 | Other | IN | ANTHEM PROVIDER NUMBER |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225100000X | Physical Therapist | 05004606A (Indiana) | Primary |
| Provider Name | Indiana Wesleyan University |
|---|---|
| Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
| Provider Identifiers | NPI Number: 1154258366 PECOS PAC ID: 8527530054 Enrollment ID: O20260616003123 |
| Mailing Address | Practice Location Address |
|---|---|
| Keith William Lancaster, DPT 4411 S Adams St, Marion, IN 46953-5349 Ph: (765) 674-4455 | Keith William Lancaster, DPT 1310 Manchester Ave, Wabash, IN 46992-1615 Ph: (260) 563-5630 |
Mr. Jose Angelito Simpao, PT Physical Therapist Medicare: May Accept Medicare Assignments Practice Location: 1700 Alber St, Wabash, IN 46992 Phone: 260-569-5480 Fax: 260-569-5485 |
Diana Yunkin, Physical Therapist Medicare: May Accept Medicare Assignments Practice Location: 1700 Alber St, Wabash, IN 46992 Phone: 260-569-5480 Fax: 260-569-5485 |
The Center For Sports & Physical Therapy Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1310 Manchester Ave, Wabash, IN 46992 Phone: 260-563-5630 |
Mrs. Patricia Ann Plummer, RPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 116 Parkway Dr, Wabash, IN 46992 Phone: 260-563-5037 Fax: 260-563-5037 |
Brooke Derby, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1700 Alber St, Wabash, IN 46992 Phone: 260-569-5480 Fax: 260-569-5485 |
Aaron Jay Riggars, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1700 Alber St, Wabash, IN 46992 Phone: 260-569-5480 Fax: 260-569-5485 |
Tonia Sue Richards, Physical Therapist Medicare: May Accept Medicare Assignments Practice Location: 1700 Alber St, Wabash, IN 46992 Phone: 260-569-5480 Fax: 260-569-5485 |