| Mary Elizabeth Boedeker, DPT | |
|
144 Lincoln Place Ct, Belleville, IL 62221-5878 | |
| (618) 233-5163 | |
| Not Available |
| Full Name | Mary Elizabeth Boedeker |
|---|---|
| Gender | Female |
| Speciality | Physical Therapist In Private Practice |
| Experience | 15 Years |
| Location | 144 Lincoln Place Ct, Belleville, Illinois |
| 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 |
|---|---|---|---|
| 1780077123 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225100000X | Physical Therapist | 2008013230 (Missouri) | Secondary |
| 225100000X | Physical Therapist | 070.021261 (Illinois) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| P2 Enterprises Llc | 9830488790 | 3 |
| Provider Name | Apex Physical Therapy, Llc |
|---|---|
| Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
| Provider Identifiers | NPI Number: 1295929644 PECOS PAC ID: 2264423458 Enrollment ID: O20071004000740 |
| Provider Name | P2 Enterprises Llc |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1013380443 PECOS PAC ID: 9830488790 Enrollment ID: O20160516001851 |
| Mailing Address | Practice Location Address |
|---|---|
| Mary Elizabeth Boedeker, DPT 15 Apex Dr, Highland, IL 62249-1282 Ph: (618) 651-0444 | Mary Elizabeth Boedeker, DPT 144 Lincoln Place Ct, Belleville, IL 62221-5878 Ph: (618) 233-5163 |
Margaret R Belongy, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 2810 Frank Scott Pkwy W, Ste 824, Belleville, IL 62223 Phone: 618-234-9705 Fax: 618-257-0665 | |
Julie Malherek, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1306 Wabash Ave, Belleville, IL 62220 Phone: 618-234-6876 Fax: 618-234-6150 | |
Ms. Rudaba Khalid, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 2900 Frank Scott Pkwy W, Belleville, IL 62223 Phone: 618-607-5103 Fax: 618-641-5814 | |
Amy Shevlin, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 2810 Frank Scott Pkwy W, Ste 824, Belleville, IL 62223 Phone: 618-234-9705 Fax: 618-257-0665 | |
Mr. Donald Clay Courtial, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: Rehabilitation Services Momorial Hospital, 4500 Memorial Drive, Belleville, IL 62226 Phone: 618-257-5254 Fax: 618-257-6929 | |
Chelsie Klieber, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 2900 Frank Scott Pkwy W Ste 984, Belleville, IL 62223 Phone: 618-235-8565 | |
Doris A Thole, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1021 W E St, Belleville, IL 62220 Phone: 618-233-2095 |