Jason Richard Kalivoda, PT, DPT | |
105 Professional Park Dr, Beaufort, NC 28516-2418 | |
(252) 726-1802 | |
(252) 726-1805 |
Full Name | Jason Richard Kalivoda |
---|---|
Gender | Male |
Speciality | Physical Therapy |
Experience | 11 Years |
Location | 105 Professional Park Dr, Beaufort, North Carolina |
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 |
---|---|---|---|
1134657224 | NPI | - | NPPES |
P16995 | Other | NC | PT LICENSE |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
225100000X | Physical Therapist | P16995 (North Carolina) | Primary |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Emergeortho Pa | 0749188894 | 611 |
Provider Name | Emergeortho Pa |
---|---|
Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1376592964 PECOS PAC ID: 0749188894 Enrollment ID: O20031229000000 |
Mailing Address | Practice Location Address |
---|---|
Jason Richard Kalivoda, PT, DPT Po Box 5105, Belfast, ME 04915-5100 Ph: (252) 726-1802 | Jason Richard Kalivoda, PT, DPT 105 Professional Park Dr, Beaufort, NC 28516-2418 Ph: (252) 726-1802 |
Crystal Coast Emg-ncv Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1507 Live Oak St, Suite D, Beaufort, NC 28516 Phone: 252-838-8810 | |
Mrs. Katherine W Price, Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 312 Live Oak St, Beaufort, NC 28516 Phone: 252-732-4618 | |
Chance Jennings Cox, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 105 Professional Park Dr, Beaufort, NC 28516 Phone: 910-332-3800 Fax: 910-663-9058 | |
Beaufort Physical Therapy Limited Partnership Physical Therapist Medicare: Medicare Enrolled Practice Location: 106-a Professional Park Dr, Beaufort, NC 28516 Phone: 252-838-0222 Fax: 252-838-0224 | |
Rachel Dawson, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 105 Professional Park Dr, Beaufort, NC 28516 Phone: 252-726-1802 | |
Mr. Mark B Wise, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 106a Professional Park Dr, Beaufort, NC 28516 Phone: 252-838-0222 Fax: 252-838-0224 |