| Richard A Gandee Ii, DPT | |
|
117 W. Wagner Street, Ellenboro, WV 26346-0328 | |
| (304) 869-3888 | |
| (304) 869-3444 |
| Full Name | Richard A Gandee Ii |
|---|---|
| Gender | Male |
| Speciality | Physical Therapist In Private Practice |
| Experience | 12 Years |
| Location | 117 W. Wagner Street, Ellenboro, West Virginia |
| 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 |
|---|---|---|---|
| 1619368669 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225100000X | Physical Therapist | PT003287 (West Virginia) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Healthpro Heritage Rehab And Fitness Llc | 6507832573 | 827 |
| Healthpro Heritage Rehab And Fitness Llc | 6507832573 | 827 |
| Provider Name | Healthpro Heritage Rehab & Fitness Llc |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1669138806 PECOS PAC ID: 6507832573 Enrollment ID: O20220301000927 |
| Mailing Address | Practice Location Address |
|---|---|
| Richard A Gandee Ii, DPT 415 36th St, Suite 100, Parkersburg, WV 26101-1005 Ph: (304) 202-3560 | Richard A Gandee Ii, DPT 117 W. Wagner Street, Ellenboro, WV 26346-0328 Ph: (304) 869-3888 |
Wesley Kirk Eades, PT, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 117 W. Wagner Street, Ellenboro, WV 26346 Phone: 304-869-3888 Fax: 304-869-3444 | |
Sherri Denise Wells, MPT Physical Therapist Medicare: Medicare Enrolled Practice Location: 117 W Wagner St, Ellenboro, WV 26346 Phone: 304-869-3888 Fax: 304-869-3444 | |
Nicole Deann Sleeth, MPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 117 West Wagner Street, Ellenboro, WV 26346 Phone: 304-869-3888 Fax: 304-869-3888 |