| Jack Edward Hanson, PT | |
|
1220 W Wheeler Pkwy, Augusta, GA 30909 | |
| (706) 721-5222 | |
| (706) 721-1459 |
| Full Name | Jack Edward Hanson |
|---|---|
| Gender | Male |
| Speciality | Physical Therapist |
| Location | 1220 W Wheeler Pkwy, Augusta, Georgia |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1932302007 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225100000X | Physical Therapist | 005721 (Georgia) | Primary |
| Provider Name | Au Medical Associates Inc |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1841230620 PECOS PAC ID: 9931013513 Enrollment ID: O20040107000188 |
| Provider Name | Au Medical Center, Inc. |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1437135902 PECOS PAC ID: 7618866229 Enrollment ID: O20040312000081 |
| Provider Name | Wellstar Medical Group, Llc |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1558664003 PECOS PAC ID: 6709065402 Enrollment ID: O20110127000374 |
| Mailing Address | Practice Location Address |
|---|---|
| Jack Edward Hanson, PT 1120 15th St Ste Bi1056, Augusta, GA 30912-0004 Ph: (706) 721-3813 | Jack Edward Hanson, PT 1220 W Wheeler Pkwy, Augusta, GA 30909 Ph: (706) 721-5222 |
Debra Beazley, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1930 Highland Ave Ste A, Augusta, GA 30904 Phone: 706-481-9105 | |
Mrs. Stacy Leigh Rush, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 3650 J Dewey Gray Cir, Augusta, GA 30909 Phone: 706-863-9797 Fax: 706-860-7686 | |
Mrs. Melissa Sue Williams, PT Physical Therapist Medicare: Medicare Enrolled Practice Location: 950 15th St, Augusta, GA 30901 Phone: 706-733-0188 | |
Bryce Scott Boeke, PT, DPT Physical Therapist Medicare: Medicare Enrolled Practice Location: 254 Robert C Daniel Jr Pkwy Ste 4b, Augusta, GA 30909 Phone: 706-723-5795 | |
Mrs. Deborah Bradley Mote, P.T. Physical Therapist Medicare: Medicare Enrolled Practice Location: 1120 15th St, Augusta, GA 30912 Phone: 706-721-2482 | |
Aegis Group Practice Llc Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 945 Broad St, Augusta, GA 30901 Phone: 479-201-2000 | |
Mrs. Sarah Marsh, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 724 Greene St, Augusta, GA 30901 Phone: 706-869-4501 |