| Walter Lee Bishop, PT | |
|
2003 Alice St, Waycross, GA 31501-6209 | |
| (912) 285-0053 | |
| (912) 283-9289 |
| Full Name | Walter Lee Bishop |
|---|---|
| Gender | Male |
| Speciality | Physical Therapist In Private Practice |
| Experience | 23 Years |
| Location | 2003 Alice St, Waycross, Georgia |
| 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 |
|---|---|---|---|
| 1609813229 | NPI | - | NPPES |
| P00829509 | Other | RAILROAD MEDICARE | |
| 390574913N | Medicaid | GA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225100000X | Physical Therapist | PT007644 (Georgia) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Sports Medicine And Rehab Therapy, Llc | 1658415054 | 5 |
| Provider Name | Sports Medicine And Rehab Therapy, Llc |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1396079224 PECOS PAC ID: 1658415054 Enrollment ID: O20100224000010 |
| Mailing Address | Practice Location Address |
|---|---|
| Walter Lee Bishop, PT 2003 Alice St, Waycross, GA 31501-6209 Ph: (912) 285-0053 | Walter Lee Bishop, PT 2003 Alice St, Waycross, GA 31501-6209 Ph: (912) 285-0053 |
Dr. Mary Catherine Wysong, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 401 Preston St, Waycross, GA 31501 Phone: 912-283-7342 Fax: 912-283-7402 | |
Hazel Blaylock-lawson, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 501 W Oneida St, Waycross, GA 31501 Phone: 912-283-3046 Fax: 912-283-9289 | |
Taylor Lane, DPT Physical Therapist Medicare: Medicare Enrolled Practice Location: 2267 Memorial Dr Ste 300, Waycross, GA 31501 Phone: 912-285-1927 | |
Ware County Physical Therapy, Inc. Physical Therapist Medicare: Medicare Enrolled Practice Location: 401 Preston St, Waycross, GA 31501 Phone: 912-283-7342 Fax: 912-283-7402 | |
Mrs. Audrey D. Jernigan, Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 301 Pineview Dr., Waycross, GA 31501 Phone: 912-285-2361 Fax: 912-285-0571 | |
Kaylee Davis Musselwhite, PT, DPT Physical Therapist Medicare: Medicare Enrolled Practice Location: 2267 Memorial Dr Ste 300, Waycross, GA 31501 Phone: 912-285-1927 Fax: 912-285-1929 |