| Wade Hampton Gaston Iv, PT | |
|
1201 Highway 49 S, Suite 2, Richland, MS 39218-9425 | |
| (769) 233-8844 | |
| (769) 251-1825 |
| Full Name | Wade Hampton Gaston Iv |
|---|---|
| Gender | Male |
| Speciality | Physical Therapist In Private Practice |
| Experience | 26 Years |
| Location | 1201 Highway 49 S, Richland, Mississippi |
| 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 |
|---|---|---|---|
| 1699867812 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225100000X | Physical Therapist | PT2964 (Mississippi) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Performance Therapy Llc | 7012971047 | 68 |
| Provider Name | Performance Therapy Llc |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1851427132 PECOS PAC ID: 7012971047 Enrollment ID: O20041118000549 |
| Provider Name | Dpti Elite Physical Therapy Llc |
|---|---|
| Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
| Provider Identifiers | NPI Number: 1386010718 PECOS PAC ID: 0547579401 Enrollment ID: O20151016001144 |
| Provider Name | Drayer Physical Therapy Mississippi Llc |
|---|---|
| Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
| Provider Identifiers | NPI Number: 1952732448 PECOS PAC ID: 3274834858 Enrollment ID: O20160314001040 |
| Mailing Address | Practice Location Address |
|---|---|
| Wade Hampton Gaston Iv, PT 2416 Highway 45 N, Columbus, MS 39705-1320 Ph: (662) 327-6705 | Wade Hampton Gaston Iv, PT 1201 Highway 49 S, Suite 2, Richland, MS 39218-9425 Ph: (769) 233-8844 |
Physical Rehabilitation Management Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 655 Highway 49 S, Suite K, Richland, MS 39218 Phone: 601-420-5838 Fax: 601-420-5839 | |
Margaret Sloan Tranum Sanders, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1201 Highway 49 S, Suite 2, Richland, MS 39218 Phone: 769-233-8844 Fax: 769-251-1525 | |
Walter Weaver, Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 1201 Highway 49 S Ste 2, Richland, MS 39218 Phone: 769-251-1825 | |
Mr. Lee Arthur Newman Iii, PT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 1201 Highway 49 S, Suite 2, Richland, MS 39218 Phone: 769-233-8844 Fax: 769-251-1825 | |
Rachelle S Benton, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1201 Highway 49 S, Suite 2, Richland, MS 39218 Phone: 769-233-8844 Fax: 769-251-1825 | |
Drayer Physical Therapy Institute Llc Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1201 Highway 49 S, Suite 2, Richland, MS 39218 Phone: 769-233-8844 Fax: 769-251-1825 |