| Mr Timothy S Pedersen, MS, PT | |
|
17 Sarahs Way, Fairhaven, MA 02719-3161 | |
| (508) 991-2918 | |
| (508) 994-3068 |
| Full Name | Mr Timothy S Pedersen |
|---|---|
| Gender | Male |
| Speciality | Physical Therapist In Private Practice |
| Experience | 36 Years |
| Location | 17 Sarahs Way, Fairhaven, Massachusetts |
| 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 |
|---|---|---|---|
| 1114004231 | NPI | - | NPPES |
| 110088219A | Medicaid | MA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225100000X | Physical Therapist | 8305 (Massachusetts) | Primary |
| 225100000X | Physical Therapist | PT01872 (Rhode Island) | Secondary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Synergy Healthcare Corp | 1658535141 | 3 |
| Provider Name | Synergy Healthcare Corp |
|---|---|
| Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
| Provider Identifiers | NPI Number: 1205101193 PECOS PAC ID: 1658535141 Enrollment ID: O20120613000416 |
| Mailing Address | Practice Location Address |
|---|---|
| Mr Timothy S Pedersen, MS, PT 17 Sarahs Way, Fairhaven, MA 02719-3161 Ph: (508) 991-2918 | Mr Timothy S Pedersen, MS, PT 17 Sarahs Way, Fairhaven, MA 02719-3161 Ph: (508) 991-2918 |
Mrs. Lilibeth Almerol Dayao, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 200 Mill Rd, Fairhaven, MA 02719 Phone: 302-932-0800 | |
Anick Bernier, PT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 270 Huttleston Ave, Fairhaven, MA 02719 Phone: 508-997-9100 Fax: 508-993-5854 | |
Mrs. Cathleen Lacy, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 333 Bridge St, Fairhaven, MA 02719 Phone: 508-272-3869 Fax: 617-847-0908 | |
Nicole Ellis Niemiec, P.T. Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 270 Huttleston Ave, Fairhaven, MA 02719 Phone: 508-997-9100 Fax: 508-993-5854 | |
Deidre B Hart, MSPT Physical Therapist Medicare: Medicare Enrolled Practice Location: 147b Washington St, Fairhaven, MA 02719 Phone: 508-991-2918 Fax: 508-994-3068 | |
Mrs. Leanne M. Bishop, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 69 Main St, Fairhaven, MA 02719 Phone: 508-997-1311 |