| Ms Mary E Hermes, MSPT | |
|
7629 Girard Ave, 201, La Jolla, CA 92037-0076 | |
| (773) 495-6522 | |
| (858) 255-8364 |
| Full Name | Ms Mary E Hermes |
|---|---|
| Gender | Female |
| Speciality | Physical Therapist |
| Location | 7629 Girard Ave, La Jolla, California |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1518028547 | NPI | - | NPPES |
| 20-5186080 | Other | IL | FEIN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225100000X | Physical Therapist | 070-011690 (Illinois) | Secondary |
| 225100000X | Physical Therapist | 24707 (California) | Primary |
| Provider Name | Family Health Centers Of San Diego Inc |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1447281936 PECOS PAC ID: 3476446378 Enrollment ID: O20040204000923 |
| Mailing Address | Practice Location Address |
|---|---|
| Ms Mary E Hermes, MSPT 7629 Girard Ave, 201, La Jolla, CA 92037-0076 Ph: (773) 495-6522 | Ms Mary E Hermes, MSPT 7629 Girard Ave, 201, La Jolla, CA 92037-0076 Ph: (773) 495-6522 |
Vanessa Rose True, MPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 9400 Campus Point Dr Fl 2, La Jolla, CA 92093 Phone: 858-543-0333 | |
Stephanie Borden, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 5580 La Jolla Blvd # 47, La Jolla, CA 92037 Phone: 559-977-6316 | |
Lisa Buth, DPT Physical Therapist Medicare: Medicare Enrolled Practice Location: 9850 Genesee Ave Ste 110, La Jolla, CA 92037 Phone: 858-626-5546 | |
Kathryn Mitchell Moscovitch, P.T. Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 4150 Regents Park Row, #365, La Jolla, CA 92037 Phone: 858-587-8669 Fax: 858-857-8675 | |
Jennifer Nicole Wegner Fasching, PT, DPT Physical Therapist Medicare: Medicare Enrolled Practice Location: 5759 La Jolla Blvd, La Jolla, CA 92037 Phone: 858-255-0092 | |
Katiya Karczewski, PT, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 9300 Campus Point Dr, La Jolla, CA 92037 Phone: 855-543-0333 | |
William A Kosik, P.T. Physical Therapist Medicare: May Accept Medicare Assignments Practice Location: 4150 Regents Park Row, #365, La Jolla, CA 92037 Phone: 858-657-8199 Fax: 858-657-8170 |