Jay Peacock, PT | |
1367 Washington Ave, Suite 100, Albany, NY 12206-1043 | |
(518) 438-7926 | |
(518) 438-8364 |
Full Name | Jay Peacock |
---|---|
Gender | Male |
Speciality | Physical Therapy |
Experience | 26 Years |
Location | 1367 Washington Ave, Albany, New York |
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 |
---|---|---|---|
1235114398 | NPI | - | NPPES |
02262251 | Medicaid | NY | |
650021313 | Other | NY | RAILROAD MEDICARE |
CC0366 | Other | NY | MEDICARE |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
225100000X | Physical Therapist | 021156-1 (New York) | Primary |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Thomas Nicolla Consulting Services Pllc | 7315836848 | 25 |
Provider Name | Thomas Nicolla Consulting Services Pllc |
---|---|
Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
Provider Identifiers | NPI Number: 1487633152 PECOS PAC ID: 7315836848 Enrollment ID: O20040624000511 |
Mailing Address | Practice Location Address |
---|---|
Jay Peacock, PT 711 Troy Schenectady Rd, Suite 209, Latham, NY 12110-2442 Ph: (518) 786-1667 | Jay Peacock, PT 1367 Washington Ave, Suite 100, Albany, NY 12206-1043 Ph: (518) 438-7926 |
Jordan Iris Bakowski, PT, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 900 Watervliet Shaker Rd, Suite 102, Albany, NY 12205 Phone: 518-862-4900 | |
Yuan Kenneth Jin, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 121 Everett Rd Ste 200, Albany, NY 12205 Phone: 518-489-2524 Fax: 518-489-3167 | |
Penelope M Blasch, PT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 314 S Manning Blvd, Albany, NY 12208 Phone: 518-453-2273 | |
Heather M. Lacasse, MPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 121 Everett Rd Health Park, Albany, NY 12205 Phone: 518-489-2524 Fax: 518-489-3167 | |
Marianna Vaysman, PT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 281 Sand Creek Rd, Albany, NY 12205 Phone: 518-459-1292 Fax: 518-459-1296 | |
Kimberly Silvernail Keane, PT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 314 S Manning Blvd, Albany, NY 12208 Phone: 518-453-2273 | |
Dr. Janel Lena Carver, D.P.T. Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 80 Clinton Ave Apt 1, Albany, NY 12210 Phone: 914-299-9514 |