Derek B Heiser, DPT | |
5393 Roosevelt Blvd Ste 17, Jacksonville, FL 32210-8424 | |
(904) 389-8570 | |
(904) 389-8599 |
Full Name | Derek B Heiser |
---|---|
Gender | Male |
Speciality | Physical Therapy |
Experience | 9 Years |
Location | 5393 Roosevelt Blvd Ste 17, Jacksonville, Florida |
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 |
---|---|---|---|
1558740720 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
225100000X | Physical Therapist | PT30517 (Florida) | Primary |
225100000X | Physical Therapist | 2305209392 (Virginia) | Secondary |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Jacksonville Orthopaedic Institute Inc | 5193625499 | 109 |
Provider Name | Jacksonville Orthopaedic Institute Inc |
---|---|
Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1346298023 PECOS PAC ID: 5193625499 Enrollment ID: O20040112000400 |
Mailing Address | Practice Location Address |
---|---|
Derek B Heiser, DPT Po Box 117345, Atlanta, GA 30368-7345 Ph: (904) 346-3465 | Derek B Heiser, DPT 5393 Roosevelt Blvd Ste 17, Jacksonville, FL 32210-8424 Ph: (904) 389-8570 |
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