Jay Herdson, PT | |
6011 University Blvd, Suite 120, Ellicott City, MD 21043-6074 | |
(410) 203-0391 | |
(410) 203-2707 |
Full Name | Jay Herdson |
---|---|
Gender | Male |
Speciality | Physical Therapy |
Experience | 25 Years |
Location | 6011 University Blvd, Ellicott City, Maryland |
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 |
---|---|---|---|
1972599819 | NPI | - | NPPES |
075353000 | Medicaid | MD | |
293466 | Other | MD | MAMSI |
6545-0007 | Other | MD | BLUE CHOICE |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Howard County Physical Therapy Sports Rehabilitation | 7214836428 | 3 |
Provider Name | Howard County Physical Therapy Sports Rehabilitation |
---|---|
Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1265428148 PECOS PAC ID: 7214836428 Enrollment ID: O20040107000511 |
Mailing Address | Practice Location Address |
---|---|
Jay Herdson, PT 6011 University Blvd, Suite 120, Ellicott City, MD 21043-6074 Ph: (410) 203-0391 | Jay Herdson, PT 6011 University Blvd, Suite 120, Ellicott City, MD 21043-6074 Ph: (410) 203-0391 |
Ms. Alice M Cheung, B.S. IN PHYSICAL THE Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 5330 Dorsey Hall Dr, Ellicott City, MD 21042 Phone: 410-772-5865 | |
Mr. Paolo Lumucso Calma, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 3290 N Ridge Rd, Suite 290, Ellicott City, MD 21043 Phone: 410-750-9006 Fax: 410-750-0787 | |
Monica Morales, PT Physical Therapist Medicare: Medicare Enrolled Practice Location: 3130 Evergreen Way, Ellicott City, MD 21042 Phone: 410-531-7558 Fax: 410-531-7558 | |
Jennifer O Vizcarrondo, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 10910 Route 108, Ellicott City, MD 21042 Phone: 443-745-5245 | |
Mrs. Lisa Marie Massie, DPT Physical Therapist Medicare: Medicare Enrolled Practice Location: 4801 Dorsey Hall Dr Ste 130, Ellicott City, MD 21042 Phone: 443-393-3788 Fax: 443-378-3533 | |
John Logan Cooper, D.P.T Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 5024 Dorsey Hall Dr, Ste 103, Ellicott City, MD 21042 Phone: 410-740-1047 Fax: 410-740-2280 | |
Lucas Hyun, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 10081 Colonial Dr, Ellicott City, MD 21042 Phone: 443-878-7273 |