Jason Herold, DPT | |
4460 S Noland Rd, Independence, MO 64055-4743 | |
(816) 373-2845 | |
Not Available |
Full Name | Jason Herold |
---|---|
Gender | Male |
Speciality | Physical Therapy |
Experience | 11 Years |
Location | 4460 S Noland Rd, Independence, Missouri |
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 |
---|---|---|---|
1043651771 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
225100000X | Physical Therapist | 2013023642 (Missouri) | Primary |
225100000X | Physical Therapist | 11-04610 (Kansas) | Secondary |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Arc Physical Therapy Plus Lp | 6204050453 | 62 |
Arc Physical Therapy Plus Lp | 6204050453 | 62 |
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 |
---|---|
Jason Herold, DPT 2219 W 79th St, Prairie Village, KS 66208-3827 Ph: (970) 691-5252 | Jason Herold, DPT 4460 S Noland Rd, Independence, MO 64055-4743 Ph: (816) 373-2845 |
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