| Meghan Waller, | |
|
51600 Huntington Rd Ste 103, La Pine, OR 97739-8887 | |
| (541) 536-7443 | |
| Not Available |
| Full Name | Meghan Waller |
|---|---|
| Gender | Female |
| Speciality | Physical Therapist In Private Practice |
| Experience | 12 Years |
| Location | 51600 Huntington Rd Ste 103, La Pine, Oregon |
| 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 |
|---|---|---|---|
| 1558778233 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225100000X | Physical Therapist | 65196 (Oregon) | Primary |
| 225100000X | Physical Therapist | PT60455582 (Washington) | Secondary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Rebound Physical Therapy Limited Partnership | 4880990753 | 40 |
| Provider Name | Rebound Physical Therapy Limited Partnership |
|---|---|
| Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
| Provider Identifiers | NPI Number: 1164888764 PECOS PAC ID: 4880990753 Enrollment ID: O20160303000563 |
| Mailing Address | Practice Location Address |
|---|---|
| Meghan Waller, 805 Sw Industrial Way Ste 3, Bend, OR 97702-1093 Ph: () - | Meghan Waller, 51600 Huntington Rd Ste 103, La Pine, OR 97739-8887 Ph: (541) 536-7443 |
Jean Marie Mchenry, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 51681 Huntington Rd, La Pine, OR 97739 Phone: 541-536-6122 Fax: 541-536-6123 | |
Sierra Mckenzie Montgomery, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 51600 Huntington Rd Ste 103, La Pine, OR 97739 Phone: 541-536-7443 | |
Mr. Gerald Nash, RPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 51681 Huntington Rd, La Pine, OR 97739 Phone: 541-536-6122 Fax: 541-536-6123 | |
Mr. George Kohler, MPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 16487 Bluewood Pl, La Pine, OR 97739 Phone: 541-536-9779 Fax: 541-536-9372 | |
Mrs. Justina Rose Becker, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 51681 Huntington Rd, La Pine, OR 97739 Phone: 541-536-6122 Fax: 541-536-6123 | |
Hollie Michelle Brown, Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 51681 Huntington Rd # 9626, La Pine, OR 97739 Phone: 541-536-6122 |