Ms Andrea Jernigan, OTR/L | |
945 Sw Main Blvd, Lake City, FL 32025-5746 | |
(386) 755-3164 | |
(386) 755-3165 |
Full Name | Ms Andrea Jernigan |
---|---|
Gender | Female |
Speciality | Physical Therapy |
Experience | 8 Years |
Location | 945 Sw Main Blvd, Lake City, Florida |
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 |
---|---|---|---|
1831572411 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
225X00000X | Occupational Therapist | OT17164 (Florida) | Secondary |
225100000X | Physical Therapist | PT32054 (Florida) | Primary |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Pro Motion Therapy Of Lake City Llc | 7113000514 | 4 |
Provider Name | Pro Motion Therapy Of Lake City Llc |
---|---|
Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
Provider Identifiers | NPI Number: 1538358585 PECOS PAC ID: 7113000514 Enrollment ID: O20080606000654 |
Mailing Address | Practice Location Address |
---|---|
Ms Andrea Jernigan, OTR/L 945 Sw Main Blvd, Lake City, FL 32025-5746 Ph: (386) 755-3164 | Ms Andrea Jernigan, OTR/L 945 Sw Main Blvd, Lake City, FL 32025-5746 Ph: (386) 755-3164 |
Tammy Sue Sanders, MPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1049 Sw Wester Dr, Lake City, FL 32024 Phone: 904-607-4007 Fax: 386-961-0223 | |
Mr. Leslie A Fuchs, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 351 Ne Franklin St, Lake City, FL 32055 Phone: 386-754-8215 Fax: 386-754-8216 | |
Kayla Severance, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1852 Sw Barnett Way, Lake City, FL 32025 Phone: 386-752-7332 | |
Rachael Vallone, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 945 Sw Main Blvd, Lake City, FL 32025 Phone: 386-755-3164 Fax: 386-755-3165 | |
Dr. John Levi Bool, PT, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 493 Sw Dexter Cir Apt 207, Lake City, FL 32025 Phone: 352-293-5322 | |
Mrs. Tassie Eubank Nelson, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 246 Nw Secluded Gln, Lake City, FL 32055 Phone: 386-623-5306 | |
Benjamin Robert Herget, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 619 S Marion Ave, Lake City, FL 32025 Phone: 386-755-3016 |