Andrew Davis, | |
1210 N Rock St, Sheridan, AR 72150-7761 | |
(870) 942-0760 | |
(870) 942-0783 |
Full Name | Andrew Davis |
---|---|
Gender | Male |
Speciality | Physical Therapy |
Experience | 4 Years |
Location | 1210 N Rock St, Sheridan, Arkansas |
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 |
---|---|---|---|
1073288510 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
225100000X | Physical Therapist | (* (Not Available)) | Primary |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Pro Active Rehab, Inc | 2668482340 | 12 |
Provider Name | Pro Active Rehab, Inc |
---|---|
Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
Provider Identifiers | NPI Number: 1215021159 PECOS PAC ID: 2668482340 Enrollment ID: O20060425000699 |
Mailing Address | Practice Location Address |
---|---|
Andrew Davis, Po Box 1890, Benton, AR 72018-1890 Ph: (501) 778-4960 | Andrew Davis, 1210 N Rock St, Sheridan, AR 72150-7761 Ph: (870) 942-0760 |
Mrs. Chessica Porterfield, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 400 N Rock St, Sheridan, AR 72150 Phone: 870-942-3135 Fax: 870-942-2931 | |
Ashton Paige Hill, Physical Therapist Medicare: Medicare Enrolled Practice Location: 1210 Rock Street, Sheridan, AR 72150 Phone: 870-942-0760 | |
Bradley Vandivere, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1210 N Rock St, Sheridan, AR 72150 Phone: 870-942-0760 Fax: 870-942-0783 | |
Mr. Roger W Saenger, RPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 15 Opportunity Drive, Sheridan, AR 72150 Phone: 870-942-8335 Fax: 870-942-2234 | |
Pro Active Rehab, Inc Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1210 N Rock St, Sheridan, AR 72150 Phone: 870-942-0760 Fax: 870-942-0783 | |
Roger Saenger, Rpt Physical Therapist Medicare: Medicare Enrolled Practice Location: 15 Opportunity Dr, Sheridan, AR 72150 Phone: 870-942-8335 Fax: 870-942-2234 |