| Matthew Richard Bass, PT, DPT | |
|
27th Special Operations Medical Group, 224 W D. L. Ingram Avenue, Bldg. 1408, Cannon Afb, NM 88103 | |
| (720) 592-5310 | |
| Not Available |
| Full Name | Matthew Richard Bass |
|---|---|
| Gender | Male |
| Speciality | Physical Therapist - Orthopedic |
| Location | 27th Special Operations Medical Group, Cannon Afb, New Mexico |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1194334862 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225100000X | Physical Therapist | 17033 (Colorado) | Secondary |
| 2251X0800X | Physical Therapist - Orthopedic | 17033 (Colorado) | Primary |
| Provider Name | Panorama Orthopedics And Spine Center Pc |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1295787950 PECOS PAC ID: 8426961087 Enrollment ID: O20031110000424 |
| Mailing Address | Practice Location Address |
|---|---|
| Matthew Richard Bass, PT, DPT 402 E Liberty Dr, Wheaton, IL 60187-5511 Ph: (720) 592-5310 | Matthew Richard Bass, PT, DPT 27th Special Operations Medical Group, 224 W D. L. Ingram Avenue, Bldg. 1408, Cannon Afb, NM 88103 Ph: (720) 592-5310 |
Dr. Taylor A Waters, PT,DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 224 W D. L. Ingram Avenue, Bldg 1408, Cannon Afb, NM 88103 Phone: 540-692-4484 | |
Joel M Henderson, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 224 W D L Ingram Avenue, Bldg 1408, Cannon Afb, NM 88103 Phone: 575-784-2778 | |
Ashton Nanette Wedemeyer, PT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 124 N Aderholt Loop, Cannon Afb, NM 88103 Phone: 575-904-3506 | |
Taylor Buessing, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 224 W D. L. Ingram Avenue, Bldg. 1408, Cannon Afb, NM 88103 Phone: 575-784-2778 | |
Dr. Sarah Alicia Paulson, PT, DPT Physical Therapist Medicare: Medicare Enrolled Practice Location: 224 W D. L. Ingram Avenue, Bldg. 1408, Cannon Afb, NM 88103 Phone: 575-784-2778 | |
Dr. Joseph A Williams, DPT Physical Therapist Medicare: Medicare Enrolled Practice Location: 208 W Dl Ingram Ave, 27 Somdg, Cannon Afb, NM 88103 Phone: 575-784-4425 |