Derek Kelton, | |
2325 W Monroe St, Springfield, IL 62704-1452 | |
(217) 547-2497 | |
Not Available |
Full Name | Derek Kelton |
---|---|
Gender | Male |
Speciality | Physical Therapy |
Experience | 6 Years |
Location | 2325 W Monroe St, Springfield, Illinois |
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 |
---|---|---|---|
1386138444 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
225100000X | Physical Therapist | (* (Not Available)) | Secondary |
225100000X | Physical Therapist | 070028643 (Illinois) | Primary |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Blue Ridge Physical Therapy, Inc | 6305916263 | 6 |
Provider Name | Blue Ridge Physical Therapy, Inc |
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Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1477596500 PECOS PAC ID: 6305916263 Enrollment ID: O20080604000059 |
Provider Name | Arc Physical Therapy Plus Lp |
---|---|
Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
Provider Identifiers | NPI Number: 1851715353 PECOS PAC ID: 6204050453 Enrollment ID: O20140613000583 |
Mailing Address | Practice Location Address |
---|---|
Derek Kelton, Po Box 19248, Springfield, IL 62794-9248 Ph: () - | Derek Kelton, 2325 W Monroe St, Springfield, IL 62704-1452 Ph: (217) 547-2497 |
Barbara Lynn Notz, PT Physical Therapist Medicare: Medicare Enrolled Practice Location: 3400 W Washington St, Springfield, IL 62711 Phone: 217-241-2992 | |
Sheila M. Nicholson, P.T., M.S. Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 1700 W Washington St, Springfield, IL 62702 Phone: 217-619-0667 | |
Molly L Farrell, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 355 W Carpenter St, Springfield, IL 62702 Phone: 217-528-7541 | |
Mr. Duane Ray Meyer, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1301 S Koke Mill Rd, Springfield, IL 62711 Phone: 217-547-9100 Fax: 217-787-5595 | |
Christi A. Sabatka, PT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 3020 S 6th St, Springfield, IL 62703 Phone: 217-528-7541 Fax: 217-789-2569 | |
Stephanie Domagalski, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 3631 S 6th St, Springfield, IL 62703 Phone: 217-535-3685 Fax: 217-529-0988 | |
Dr. Arlen Nathaniel Magelitz, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 2201 W White Oaks Dr, Springfield, IL 62704 Phone: 217-546-3301 |