Jeanette Lillian Lundberg, PT | |
300 E College Way, Suite B, Mount Vernon, WA 98273-5429 | |
(360) 428-6677 | |
(369) 428-7635 |
Full Name | Jeanette Lillian Lundberg |
---|---|
Gender | Female |
Speciality | Physical Therapist |
Location | 300 E College Way, Mount Vernon, Washington |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1891785804 | NPI | - | NPPES |
7035843 | Medicaid | WA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
225100000X | Physical Therapist | PT00000784 (Washington) | Primary |
Provider Name | Evergreen Physicaltherapy Ps |
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Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
Provider Identifiers | NPI Number: 1891780151 PECOS PAC ID: 0345583290 Enrollment ID: O20190516003115 |
Mailing Address | Practice Location Address |
---|---|
Jeanette Lillian Lundberg, PT Po Box 1789, Mount Vernon, WA 98273-1789 Ph: (360) 428-6677 | Jeanette Lillian Lundberg, PT 300 E College Way, Suite B, Mount Vernon, WA 98273-5429 Ph: (360) 428-6677 |
Keelymae J Regan, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 1500 Continental Pl, Mount Vernon, WA 98273 Phone: 360-424-7041 Fax: 360-424-2456 | |
Dr. Dana Sturtz, DPT, GCS Physical Therapist Medicare: Medicare Enrolled Practice Location: 1415 E Kincaid St, Mount Vernon, WA 98274 Phone: 360-814-2184 | |
Urban Fitness And Health Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 525 E College Way, Mount Vernon, WA 98273 Phone: 206-999-9310 | |
Kimberly Kae Miller, MPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 1401 S Laventure Rd, Mount Vernon, WA 98274 Phone: 360-424-2400 Fax: 360-424-2418 | |
Sarah Louise Johnston, PT, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1415 E Kincaid St, Mount Vernon, WA 98274 Phone: 360-814-2699 | |
Jessica Ann Younger, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1415 E Kincaid St, Childrens Therapy Department, Mount Vernon, WA 98274 Phone: 360-814-2696 Fax: 360-814-5467 | |
Mr. Brett Robert Nelson, P.T. Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 1401 S Laventure Rd, Mount Vernon, WA 98274 Phone: 360-424-2400 Fax: 360-424-2418 |