| Matthew S Dedoes, PT | |
|
245 Terracina Blvd, Suite 105, Redlands, CA 92373-4852 | |
| (909) 792-9737 | |
| (909) 796-4158 |
| Full Name | Matthew S Dedoes |
|---|---|
| Gender | Male |
| Speciality | Physical Therapist |
| Location | 245 Terracina Blvd, Redlands, California |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1710912522 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225100000X | Physical Therapist | PT25116 (California) | Primary |
| Provider Name | Beaver Medical Group P C |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1649503319 PECOS PAC ID: 0547164295 Enrollment ID: O20031124000449 |
| Provider Name | Healthcare Partners Affiliates Medical Group |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1659312593 PECOS PAC ID: 7315842002 Enrollment ID: O20031204001258 |
| Mailing Address | Practice Location Address |
|---|---|
| Matthew S Dedoes, PT Po Box 10069, San Bernardino, CA 92423-0069 Ph: (909) 335-4188 | Matthew S Dedoes, PT 245 Terracina Blvd, Suite 105, Redlands, CA 92373-4852 Ph: (909) 792-9737 |
Elizabeth Shirley Cavazos, P.T. Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 245 Terracina Blvd, 202, Redlands, CA 92373 Phone: 909-792-9737 Fax: 909-798-8749 |
Kunal Palta, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 27431 San Bernardino Ave Apt 275, Redlands, CA 92374 Phone: 951-208-3636 |
Frank Lee, Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 25864 Business Center Dr Ste C, Redlands, CA 92374 Phone: 909-703-2465 |
Olivia Jacqueline Ortiz, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 25864 Business Center Dr Ste C, Redlands, CA 92374 Phone: 909-796-7700 |
Melanie E. Fernando-reid, PT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 1189 W State St, Redlands, CA 92373 Phone: 909-307-9121 Fax: 909-307-9161 |
Inland Healthcare Management Group Inc Physical Therapist Medicare: Medicare Enrolled Practice Location: 256 Cajon St Ste G, Redlands, CA 92373 Phone: 909-810-0185 |
Richard Lind, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1329 Barton Rd, Ste B, Redlands, CA 92373 Phone: 909-255-1694 Fax: 909-307-0273 |