| Mollie Rae Beyers, PT, DPT | |
|
101 E 9th St, Pana, IL 62557-1716 | |
| (217) 562-6328 | |
| Not Available |
| Full Name | Mollie Rae Beyers |
|---|---|
| Gender | Female |
| Speciality | Physical Therapist |
| Location | 101 E 9th St, Pana, Illinois |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1891992368 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225100000X | Physical Therapist | (Illinois) | Primary |
| Provider Name | Pana Community Hospital Association |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1942326970 PECOS PAC ID: 3274437348 Enrollment ID: O20031121000350 |
| Mailing Address | Practice Location Address |
|---|---|
| Mollie Rae Beyers, PT, DPT 1010 S Pine St, Pana, IL 62557-1874 Ph: (217) 562-2431 | Mollie Rae Beyers, PT, DPT 101 E 9th St, Pana, IL 62557-1716 Ph: (217) 562-6328 |
Garrett Claxon, PT, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 101 E 9th St, Pana, IL 62557 Phone: 217-562-6328 | |
Ms. Maiden Louise Axalan Bacolod, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 900 S Chestnut, Prairie Rose Healthcare Center, Pana, IL 62557 Phone: 217-562-3996 | |
Bryce Fortner, PT, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 101 E 9th St, Pana, IL 62557 Phone: 217-562-6238 | |
Mrs. Patra Dawn Deere, P.T. Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 101 E 9th St, Pana, IL 62557 Phone: 217-562-6328 Fax: 217-562-6281 |