| Mr Mason Shaw, DPT | |
|
309 S Washington St, Deridder, LA 70634-4861 | |
| (337) 462-6097 | |
| (337) 462-0531 |
| Full Name | Mr Mason Shaw |
|---|---|
| Gender | Male |
| Speciality | Physical Therapist In Private Practice |
| Experience | 4 Years |
| Location | 309 S Washington St, Deridder, Louisiana |
| 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 |
|---|---|---|---|
| 1245800051 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225100000X | Physical Therapist | PT10908 (Louisiana) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Beauregard Physical Therapy Clinic, Inc | 6002967684 | 2 |
| Provider Name | Beauregard Physical Therapy Clinic, Inc |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1003080367 PECOS PAC ID: 6002967684 Enrollment ID: O20090622000156 |
| Mailing Address | Practice Location Address |
|---|---|
| Mr Mason Shaw, DPT 309 S Washington St, Deridder, LA 70634-4861 Ph: (337) 462-6097 | Mr Mason Shaw, DPT 309 S Washington St, Deridder, LA 70634-4861 Ph: (337) 462-6097 |
Beauregard Physical Therapy Clinic, Inc Physical Therapist Medicare: Medicare Enrolled Practice Location: 309 S Washington St, Deridder, LA 70634 Phone: 337-462-6097 Fax: 337-462-0531 | |
West Louisiana Health Services Inc Physical Therapist Medicare: Medicare Enrolled Practice Location: 600 S Pine St, Deridder, LA 70634 Phone: 337-462-7409 Fax: 337-462-7479 | |
Premier Performance Physical Therapy And Sports Rehab Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 243 E 1st St, Deridder, LA 70634 Phone: 936-465-6282 | |
Bloom Therapy Center Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1103 Walnut St, Deridder, LA 70634 Phone: 337-202-0568 | |
Ljr Therapy Services, Llc Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 614 N Pine St, Deridder, LA 70634 Phone: 337-396-4071 | |
Dr. Russell Warren Hearne, PT,DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 192 Highway 3226, Deridder, LA 70634 Phone: 936-465-6282 |