Bethany D Richerson, MPT | |
165 Natchez Trace Ave, Ste 200, Bowling Green, KY 42103-7940 | |
(270) 796-4698 | |
(270) 782-3274 |
Full Name | Bethany D Richerson |
---|---|
Gender | Female |
Speciality | Physical Therapy |
Experience | 23 Years |
Location | 165 Natchez Trace Ave, Bowling Green, Kentucky |
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 |
---|---|---|---|
1750366175 | NPI | - | NPPES |
000000590928 | Other | KY | BLUE CROSS BLUE SHIELD |
000000280266 | Other | IN | BLUE CROSS BLUE SHIELD |
200839570 | Medicaid | IN |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
225100000X | Physical Therapist | 05007579A (Indiana) | Secondary |
225100000X | Physical Therapist | 004243 (Kentucky) | Primary |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Prorehab Inc | 1254317217 | 64 |
Provider Name | Prorehab Inc |
---|---|
Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
Provider Identifiers | NPI Number: 1770565509 PECOS PAC ID: 1254317217 Enrollment ID: O20180712001913 |
Mailing Address | Practice Location Address |
---|---|
Bethany D Richerson, MPT 165 Natchez Trace Ave, Ste 200, Bowling Green, KY 42103-7940 Ph: (270) 796-4698 | Bethany D Richerson, MPT 165 Natchez Trace Ave, Ste 200, Bowling Green, KY 42103-7940 Ph: (270) 796-4698 |
Jordan Dowrey, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 861 Fairview Ave Ste 102, Bowling Green, KY 42101 Phone: 270-483-8438 | |
Kirsti Elaine Smith, PT, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 944 Fields Dr, Suite 102, Bowling Green, KY 42104 Phone: 270-495-1312 | |
William Jason Wright, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1725 Scottsville Rd, Bowling Green, KY 42104 Phone: 270-467-9969 Fax: 270-467-9970 | |
Jacob Clayton Thomas, PT, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 5796 Nashville Rd, Bowling Green, KY 42101 Phone: 270-745-0987 | |
Thoroughbred Physical Therapy Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1945 Scottsville Rd Bldg Ii, Bowling Green, KY 42104 Phone: 270-904-9615 Fax: 270-721-0028 | |
Kathleen West, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 201 Park St, Bowling Green, KY 42101 Phone: 270-781-5111 Fax: 270-780-0478 | |
Mackenzie Polston, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 165 Natchez Trace Ave Ste 200, Bowling Green, KY 42103 Phone: 270-796-4698 Fax: 270-782-3274 |