| Mark Gerard Smith, DPT | |
|
225 Physicians Park, Suite 101, Poplar Bluff, MO 63901-3956 | |
| (573) 778-9348 | |
| (573) 686-4870 |
| Full Name | Mark Gerard Smith |
|---|---|
| Gender | Male |
| Speciality | Physical Therapist In Private Practice |
| Experience | 11 Years |
| Location | 225 Physicians Park, Poplar Bluff, Missouri |
| 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 |
|---|---|---|---|
| 1730586777 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2251X0800X | Physical Therapist - Orthopedic | 2014039475 (Missouri) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Athletico Ltd | 4789602681 | 2054 |
| Provider Name | Athletico Ltd |
|---|---|
| Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
| Provider Identifiers | NPI Number: 1114449857 PECOS PAC ID: 4789602681 Enrollment ID: O20171211002357 |
| Mailing Address | Practice Location Address |
|---|---|
| Mark Gerard Smith, DPT 4273 Keaton Crossing Blvd, O Fallon, MO 63368-8220 Ph: (636) 206-4225 | Mark Gerard Smith, DPT 225 Physicians Park, Suite 101, Poplar Bluff, MO 63901-3956 Ph: (573) 778-9348 |
Larry A Nations, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 2725 N Westwood Blvd, Poplar Bluff, MO 63901 Phone: 573-778-9348 Fax: 573-686-4870 | |
Richard Pestillos, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 3001 May St, Mark Twain Caring Center, Poplar Bluff, MO 63901 Phone: 573-778-0854 | |
Lance Michael Dohogne, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 225 Physicians Park Ste 101, Poplar Bluff, MO 63901 Phone: 573-778-9348 | |
Darrel Killian, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 725 Highway 142, Poplar Bluff, MO 63901 Phone: 573-776-2450 | |
Lindsy Wilson, Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 4358 Highway Pp, Poplar Bluff, MO 63901 Phone: 573-686-5439 | |
Cassie C Barnett, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 2981 Kanell Blvd, Poplar Bluff, MO 63901 Phone: 573-712-2280 Fax: 573-778-9589 | |
Integrated Therapy Services Llc Physical Therapist Medicare: Medicare Enrolled Practice Location: 2166 N Westwood Blvd, Poplar Bluff, MO 63901 Phone: 573-712-2696 Fax: 573-712-2991 |