Adrienne Klein, PT | |
1 Perryman St, Lebanon, IL 62254-1356 | |
(618) 537-6165 | |
Not Available |
Full Name | Adrienne Klein |
---|---|
Gender | Female |
Speciality | Physical Therapist |
Location | 1 Perryman St, Lebanon, Illinois |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1730304056 | NPI | - | NPPES |
P00931246 | Other | IL | RR MEDICARE |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
225100000X | Physical Therapist | 070015653 (Illinois) | Primary |
Provider Name | Legacy Healthcare Services Inc |
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Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1689141376 PECOS PAC ID: 2163339722 Enrollment ID: O20200427002510 |
Mailing Address | Practice Location Address |
---|---|
Adrienne Klein, PT 812 Tanzanite Ln, Mascoutah, IL 62258-2953 Ph: (618) 580-0386 | Adrienne Klein, PT 1 Perryman St, Lebanon, IL 62254-1356 Ph: (618) 537-6165 |
Andrea Bahan, MPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1 Perryman St, Lebanon, IL 62254 Phone: 618-537-6165 | |
Lori Toennies, P.T. Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 114 Wakanda Dr, Suite A, Lebanon, IL 62254 Phone: 618-310-3459 | |
Kelsey Gerdes, Physical Therapist Medicare: Medicare Enrolled Practice Location: 628 S Madison St, Lebanon, IL 62254 Phone: 618-310-3459 |