Erin Jenson, PT | |
111 College St, Smiths Grove, KY 42171-8239 | |
(270) 563-2084 | |
(270) 563-2085 |
Full Name | Erin Jenson |
---|---|
Gender | Female |
Speciality | Physical Therapist |
Location | 111 College St, Smiths Grove, Kentucky |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1770891038 | NPI | - | NPPES |
000000678814 | Other | KY | ANTHEM |
7100140460 | Medicaid | KY |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
225100000X | Physical Therapist | 28620 (Maryland) | Secondary |
225100000X | Physical Therapist | 005655 (Kentucky) | Primary |
Provider Name | Smiths Grove Physical Therapy |
---|---|
Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1295962124 PECOS PAC ID: 8426101460 Enrollment ID: O20090808000002 |
Mailing Address | Practice Location Address |
---|---|
Erin Jenson, PT 111 College St, Smiths Grove, KY 42171-8239 Ph: (270) 563-2084 | Erin Jenson, PT 111 College St, Smiths Grove, KY 42171-8239 Ph: (270) 563-2084 |
Jeanna Johnson, PHYSICAL THERAPIST Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 75 River Birch Loop, Smiths Grove, KY 42171 Phone: 270-535-1414 | |
Smiths Grove Physical Therapy Physical Therapist Medicare: Medicare Enrolled Practice Location: 111 College Street, Smiths Grove, KY 42171 Phone: 270-563-2084 Fax: 270-563-2085 | |
Jeremy L Schafer, MPT, OCS, ECS Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 111 College Street, Smiths Grove, KY 42171 Phone: 270-597-3757 Fax: 270-597-1020 | |
Andrea Paige Parra, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 111 College St, Smiths Grove, KY 42171 Phone: 270-563-2084 |