| Nicolas Bereciartua, | |
|
101 River Rd Ste 112, Jefferson, LA 70121-4226 | |
| (504) 828-7696 | |
| Not Available |
| Full Name | Nicolas Bereciartua |
|---|---|
| Gender | Male |
| Speciality | Physical Therapist |
| Location | 101 River Rd Ste 112, Jefferson, Louisiana |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1043036601 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225100000X | Physical Therapist | (* (Not Available)) | Primary |
| Provider Name | Crane Rehab Center Llc |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1699777961 PECOS PAC ID: 3678552866 Enrollment ID: O20040720000812 |
| Mailing Address | Practice Location Address |
|---|---|
| Nicolas Bereciartua, 101 River Rd Ste 112, Jefferson, LA 70121-4226 Ph: (504) 828-7696 | Nicolas Bereciartua, 101 River Rd Ste 112, Jefferson, LA 70121-4226 Ph: (504) 828-7696 |
Amanda Held, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 101 River Rd Ste 112, Jefferson, LA 70121 Phone: 504-828-7696 | |
Joyce Vardeman Pepiton, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 11 San Jose Ave, Jefferson, LA 70121 Phone: 504-723-3474 | |
Tyler Gregory Lusignan, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 101 River Rd Ste 112, Jefferson, LA 70121 Phone: 504-828-7696 Fax: 504-828-8935 | |
Fred Eitmann, PT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 101 River Rd Ste 112, Jefferson, LA 70121 Phone: 504-828-7696 Fax: 504-828-8935 | |
Mr. Bryce Kneip, PT, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 4015 Jefferson Hwy, Jefferson, LA 70121 Phone: 504-837-6447 | |
Dr. Mason Coats, PT, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1319 Jefferson Hwy, Jefferson, LA 70121 Phone: 504-842-6513 |