Hayden Klockenga, DPT | |
4121 Veterans Memorial Dr, Mount Vernon, IL 62864-6262 | |
(618) 242-3778 | |
Not Available |
Full Name | Hayden Klockenga |
---|---|
Gender | Male |
Speciality | Physical Therapy |
Experience | 5 Years |
Location | 4121 Veterans Memorial Dr, Mount Vernon, 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 |
---|---|---|---|
1073147161 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
225100000X | Physical Therapist | 070024984 (Illinois) | Primary |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Orthopaedic Center Of Southern Illinois, Ltd | 6901705441 | 21 |
Provider Name | Orthopaedic Center Of Southern Illinois, Ltd |
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Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1134171226 PECOS PAC ID: 6901705441 Enrollment ID: O20040105000416 |
Mailing Address | Practice Location Address |
---|---|
Hayden Klockenga, DPT 4121 Veterans Memorial Dr, Mount Vernon, IL 62864-6262 Ph: (618) 242-3778 | Hayden Klockenga, DPT 4121 Veterans Memorial Dr, Mount Vernon, IL 62864-6262 Ph: (618) 242-3778 |
Mary L. Stedelin, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 208 Zachery Dr, Mount Vernon, IL 62864 Phone: 618-204-5497 Fax: 618-204-5487 | |
Terri S Garrett, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 208 Zachery Dr, Mount Vernon, IL 62864 Phone: 618-204-5497 | |
Mrs. Cheryl Jeanne Uy Rushing, PT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 8 Doctors Park Rd, Mount Vernon, IL 62864 Phone: 618-241-8595 Fax: 618-241-8759 | |
James M Mulvaney, Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 1007 S 42nd St, Suite 5, Mount Vernon, IL 62864 Phone: 618-244-1163 Fax: 618-244-1522 | |
Mrs. Susan Christine Portner, RPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 4121 Veterans Memorial Dr, Mount Vernon, IL 62864 Phone: 618-242-8887 Fax: 618-244-5537 | |
Mrs. Stephanie Schaubert, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 4121 Veterans Memorial Dr, Mount Vernon, IL 62864 Phone: 618-242-3778 Fax: 618-242-2551 |