| Madison Jean Ewing, PT, DPT | |
|
103 Medicine Way Rd, Peridot, AZ 85542-5000 | |
| (928) 475-1400 | |
| Not Available |
| Full Name | Madison Jean Ewing |
|---|---|
| Gender | Female |
| Speciality | Physical Therapist |
| Location | 103 Medicine Way Rd, Peridot, Arizona |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1710607445 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225100000X | Physical Therapist | 049272 (New York) | Primary |
| Provider Name | San Carlos Apache Healthcare Corporation |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1265813075 PECOS PAC ID: 0648580597 Enrollment ID: O20151105002091 |
| Mailing Address | Practice Location Address |
|---|---|
| Madison Jean Ewing, PT, DPT 1831 Hoagland Rd, Mount Morris, NY 14510-9424 Ph: () - | Madison Jean Ewing, PT, DPT 103 Medicine Way Rd, Peridot, AZ 85542-5000 Ph: (928) 475-1400 |
San Carlos Apache Healthcare Corporation Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 103 Medicine Way Road, Peridot, AZ 85542 Phone: 928-475-1200 | |
Kendal Hatler, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 103 Medicine Way Rd, Peridot, AZ 85542 Phone: 928-475-1400 | |
Brandon Thomas Goodman, DPT Physical Therapist Medicare: Medicare Enrolled Practice Location: 103 Medicine Way Rd, Peridot, AZ 85542 Phone: 928-475-1200 |