| Mr Gary Dwayne Eichenberger, DPT | |
|
1005 N State Route 291, Liberty, MO 64068 | |
| (816) 429-5199 | |
| (816) 429-7129 |
| Full Name | Mr Gary Dwayne Eichenberger |
|---|---|
| Gender | Male |
| Speciality | Physical Therapist In Private Practice |
| Experience | 16 Years |
| Location | 1005 N State Route 291, Liberty, Missouri |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1154610186 | NPI | - | NPPES |
| 12198273 | Other | MO | CAQH NUMBER |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225100000X | Physical Therapist | 2010031806 (Missouri) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Complete Pt, Llc | 2062786825 | 4 |
| Provider Name | Hill Pro-motion Physical Therapy, LLC |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1538431333 PECOS PAC ID: 1153582416 Enrollment ID: O20120412000454 |
| Provider Name | Complete PT, LLC |
|---|---|
| Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
| Provider Identifiers | NPI Number: 1790214252 PECOS PAC ID: 2062786825 Enrollment ID: O20170919000714 |
| Mailing Address | Practice Location Address |
|---|---|
| Mr Gary Dwayne Eichenberger, DPT 1005 N State Route 291, Liberty, MO 64068 Ph: (816) 429-5199 | Mr Gary Dwayne Eichenberger, DPT 1005 N State Route 291, Liberty, MO 64068 Ph: (816) 429-5199 |
Mr. Craig Bolles, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 2105 Kara Ct, Suite #a-1, Liberty, MO 64068 Phone: 816-407-1249 Fax: 816-407-1259 |
Sara Mcguff, PT, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1400 S Skyline Dr, Liberty, MO 64068 Phone: 816-736-5460 |
Jordan Nichol Puvogel, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 102 S Forrest Ave, Liberty, MO 64068 Phone: 816-429-5199 Fax: 816-429-7129 |
Chad E Helmer, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1512 Ne 96th St, Ste A, Liberty, MO 64068 Phone: 816-792-0775 Fax: 816-792-0776 |
Reese Jordan Bennett, PT, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 229 S Stewart Rd Ste E-3, Liberty, MO 64068 Phone: 816-656-3695 Fax: 816-656-3696 |
Krinai Sullivan, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 8 Victory Ln, Liberty, MO 64068 Phone: 816-500-0308 |
Debra Hohn, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 398 Blue Jay Dr, Liberty, MO 64068 Phone: 816-407-2315 Fax: 816-407-1555 |