| Stacey Mitchell, DPT | |
|
2 E Main St Ste 102, Danville, IL 61832-5844 | |
| (217) 709-9000 | |
| (217) 709-9001 |
| Full Name | Stacey Mitchell |
|---|---|
| Gender | Female |
| Speciality | Physical Therapist In Private Practice |
| Experience | 21 Years |
| Location | 2 E Main St Ste 102, Danville, Illinois |
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1114514999 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225100000X | Physical Therapist | 16076 (Tennessee) | Secondary |
| 225100000X | Physical Therapist | 070017140 (Illinois) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Legacy Healthcare Services Inc | 2163339722 | 3474 |
| Vanderbilt University Medical Center | 5092023416 | 2960 |
| Provider Name | Vanderbilt University Medical Center |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1104202761 PECOS PAC ID: 5092023416 Enrollment ID: O20151006000369 |
| Provider Name | Legacy Healthcare Services Inc |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1306454558 PECOS PAC ID: 2163339722 Enrollment ID: O20200925002518 |
| Mailing Address | Practice Location Address |
|---|---|
| Stacey Mitchell, DPT 2122 York Rd Ste 300, Oak Brook, IL 60523-1925 Ph: (630) 575-6200 | Stacey Mitchell, DPT 2 E Main St Ste 102, Danville, IL 61832-5844 Ph: (217) 709-9000 |
Mr. Ronnie Lee Day, P.T. Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 3815 N Vermilion St, Danville, IL 61832 Phone: 217-446-7878 Fax: 217-446-7865 | |
Plamen Alexandrov, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1900 E Main St, Danville, IL 61832 Phone: 217-554-5235 | |
Ms. Nancy S. Davidson, P.T. Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 3545 N Vermilion St, Danville, IL 61832 Phone: 217-442-8611 | |
Ms. Karmini S Persaud, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 3733 Poolside Dr, Danville, IL 61832 Phone: 217-442-0812 Fax: 217-442-2181 | |
Professional Physical Therapy, Pc Physical Therapist Medicare: Medicare Enrolled Practice Location: 3815 N Vermilion St, Danville, IL 61832 Phone: 217-446-7878 Fax: 217-446-7865 | |
Yiting Du, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 812 N Logan Ave, Danville, IL 61832 Phone: 217-443-5000 |