| Lisa Sharon Iacovelli, PT | |
|
33 Miller Avenue, Mill Valley, CA 94941 | |
| (415) 380-9242 | |
| (415) 388-7458 |
| Full Name | Lisa Sharon Iacovelli |
|---|---|
| Gender | Female |
| Speciality | Physical Therapist In Private Practice |
| Experience | 39 Years |
| Location | 33 Miller Avenue, Mill Valley, California |
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1093826026 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225100000X | Physical Therapist | OPT14541 (California) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Physical Medicine Ctr Of Marin, A Pt Corp. | 1153583778 | 2 |
| Provider Name | Physical Medicine Ctr Of Marin, A Pt Corp. |
|---|---|
| Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
| Provider Identifiers | NPI Number: 1013176775 PECOS PAC ID: 1153583778 Enrollment ID: O20120427000105 |
| Mailing Address | Practice Location Address |
|---|---|
| Lisa Sharon Iacovelli, PT 33 Miller Avenue, Mill Valley, CA 94941 Ph: (415) 380-9242 | Lisa Sharon Iacovelli, PT 33 Miller Avenue, Mill Valley, CA 94941 Ph: (415) 380-9242 |
Tammara J Moore, DPT, OCS Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 100 Shoreline Hwy Ste 210a, Mill Valley, CA 94941 Phone: 415-729-0441 | |
Physical Medicine Ctr Of Marin, A Pt Corp. Physical Therapist Medicare: Medicare Enrolled Practice Location: 33 Miller Ave, Mill Valley, CA 94941 Phone: 415-380-9242 Fax: 415-388-7458 | |
Mill Valley Physical Therapy Partnership Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 619 E Blithedale Ave, Bldg. B, Mill Valley, CA 94941 Phone: 415-388-5223 Fax: 415-388-5270 | |
Mrs. Brigitte G. Mcfadden, M.P.T. Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 40 Camino Alto, Mill Valley, CA 94941 Phone: 415-383-2741 Fax: 415-383-4379 | |
Rodney R. Heschong, Rpt, Inc. Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 619 E Blithedale Ave, Suite B, Mill Valley, CA 94941 Phone: 415-388-5223 Fax: 415-388-5270 | |
Erin Elizabeth Fitzpatrick, PT, DPT Physical Therapist Medicare: Medicare Enrolled Practice Location: 591 Redwood Hwy Frontage Rd Ste 2235, Mill Valley, CA 94941 Phone: 415-381-8707 |