| Mr Matthew D Kraemer, PT | |
|
2549 Alpine Blvd., Alpine, CA 91901-3950 | |
| (619) 445-3168 | |
| (619) 445-5368 |
| Full Name | Mr Matthew D Kraemer |
|---|---|
| Gender | Male |
| Speciality | Physical Therapist In Private Practice |
| Experience | 31 Years |
| Location | 2549 Alpine Blvd., Alpine, California |
| 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 |
|---|---|---|---|
| 1700988433 | NPI | - | NPPES |
| PT00211000 | Medicaid | CA | |
| 0PT21000 | Other | BLUE SHIELD COMMERCIAL | |
| PT0211000 | Medicaid | CA | |
| 0PT21000 | Other | BLUE SHIELD GOVERNMENT |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225100000X | Physical Therapist | PT21100 (California) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Alpine Physical Therapy And Wellness Center, Inc | 8022914498 | 4 |
| Provider Name | Alpine Physical Therapy & Wellness Center, Inc |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1669576930 PECOS PAC ID: 8022914498 Enrollment ID: O20031208001104 |
| Mailing Address | Practice Location Address |
|---|---|
| Mr Matthew D Kraemer, PT 2549 Alpine Blvd, Alpine, CA 91901-3950 Ph: (619) 445-3168 | Mr Matthew D Kraemer, PT 2549 Alpine Blvd., Alpine, CA 91901-3950 Ph: (619) 445-3168 |
Graciela Peace, PT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 790 S Grade Rd, Alpine, CA 91901 Phone: 661-240-3927 | |
Mr. Jonathan A. Benich, MSPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 2549 Alpine Blvd., Alpine, CA 91901 Phone: 619-445-3168 Fax: 619-445-5368 | |
Graciela Peace Physical Therapist Medicare: Medicare Enrolled Practice Location: 790 S Grade Rd, Alpine, CA 91901 Phone: 661-240-3927 Fax: 619-243-8736 | |
Natalya B Flatley, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 2549 Alpine Blvd, Alpine, CA 91901 Phone: 619-445-3168 Fax: 619-445-5368 | |
Mr. Arthur A Tom, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 2549 Alpine Blvd, Alpine, CA 91901 Phone: 619-445-3168 Fax: 619-445-5368 | |
Bryan Todd Stephenson, MSPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1620 Alpine Blvd, Suite 211, Alpine, CA 91901 Phone: 619-445-3168 Fax: 619-445-5368 |