Jacqueline Liana Puno, PT | |
13035 Kansas Ave, Bonner Springs, KS 66012 | |
(913) 721-6362 | |
(913) 422-6675 |
Full Name | Jacqueline Liana Puno |
---|---|
Gender | Female |
Speciality | Physical Therapy |
Experience | 24 Years |
Location | 13035 Kansas Ave, Bonner Springs, Kansas |
Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1427137702 | NPI | - | NPPES |
37606031 | Other | BCBS KC | |
MA4370065 | Other | MO | MEDICARE PTAN |
KA2868008 | Other | KS | MEDICARE PTAN |
750842 | Other | OPTUM | |
P01246857 | Other | KS | MEDICARE RAILROAD |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
225100000X | Physical Therapist | 2004012265 (Missouri) | Secondary |
225100000X | Physical Therapist | 11-03429 (Kansas) | Primary |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Serc Rehabilitation Partners Llc | 9830344563 | 200 |
Provider Name | Serc Rehabilitation Partners Llc |
---|---|
Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
Provider Identifiers | NPI Number: 1760745244 PECOS PAC ID: 9830344563 Enrollment ID: O20130517000516 |
Mailing Address | Practice Location Address |
---|---|
Jacqueline Liana Puno, PT 6397 Lee Hwy Ste 300, Chattanooga, TN 37421-2564 Ph: (423) 238-7217 | Jacqueline Liana Puno, PT 13035 Kansas Ave, Bonner Springs, KS 66012 Ph: (913) 721-6362 |
Serc - Bonner Springs Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 13035 Kansas Ave, Bonner Springs, KS 66012 Phone: 913-721-6362 Fax: 913-422-6675 | |
Nathan Edward Church, PT, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 13035 Kansas Ave, Bonner Springs, KS 66012 Phone: 913-721-6362 Fax: 913-422-6675 | |
Christina Carolyn Gull, PT, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 13035 Kansas Ave, Bonner Springs, KS 66012 Phone: 913-721-6362 Fax: 913-422-6675 | |
Sarah Lynn Little, PT, DPT Physical Therapist Medicare: Medicare Enrolled Practice Location: 13035 Kansas Ave, Bonner Springs, KS 66012 Phone: 913-721-6362 Fax: 913-422-6675 | |
Jodi Lea Sievers, MPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 509 S 137th St, Bonner Springs, KS 66012 Phone: 913-634-7452 | |
Christine A Mcechron-hills, DPT Physical Therapist Medicare: Medicare Enrolled Practice Location: 13035 Kansas Ave, Bonner Springs, KS 66012 Phone: 913-721-4362 Fax: 913-815-4068 |