Jennifer Brackett Lewis, PT, AT,C | |
12 Dawson Market Way Ste 320, Dawsonville, GA 30534-7296 | |
(470) 759-2415 | |
(706) 441-3321 |
Full Name | Jennifer Brackett Lewis |
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Gender | Female |
Speciality | Physical Therapist |
Location | 12 Dawson Market Way Ste 320, Dawsonville, Georgia |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1700815446 | NPI | - | NPPES |
52183607002 | Other | GA | BCBS MARIETTA LOCATION |
52183607001 | Other | GA | BCBS AUSTELL LOCATION |
52183607003 | Other | GA | BCBS WOODSTOCK LOCATION |
52183607004 | Other | GA | BCBS DOUGLASVILLE LOCATIO |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
225100000X | Physical Therapist | PT005634 (Georgia) | Primary |
Provider Name | Mcm Rehabilitation Llc |
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Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1538226840 PECOS PAC ID: 5294798336 Enrollment ID: O20110826000205 |
Provider Name | Wellstar Health Ventures, Llc |
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Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1932486131 PECOS PAC ID: 1456527878 Enrollment ID: O20120105000563 |
Mailing Address | Practice Location Address |
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Jennifer Brackett Lewis, PT, AT,C 790 Remington Blvd, Bolingbrook, IL 60440-4909 Ph: () - | Jennifer Brackett Lewis, PT, AT,C 12 Dawson Market Way Ste 320, Dawsonville, GA 30534-7296 Ph: (470) 759-2415 |
Priyal Doshi, DPT Physical Therapist Medicare: Medicare Enrolled Practice Location: 12 Dawson Market Way Ste 320, Dawsonville, GA 30534 Phone: 470-759-2415 Fax: 706-441-3321 | |
Joshua Elder, Physical Therapist Medicare: Medicare Enrolled Practice Location: 78 Dawson Village Way N Ste 230, Dawsonville, GA 30534 Phone: 706-265-3575 | |
Mary Therese Leppert, PTA Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 78 Dawson Village Way N Ste 230, Dawsonville, GA 30534 Phone: 706-265-3575 Fax: 706-344-1207 | |
Andree Akst, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 78 Dawson Village Way N Ste 230, Dawsonville, GA 30534 Phone: 706-265-3575 | |
Benjamin Hall, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 78 Dawson Village Way N Ste 230, Dawsonville, GA 30534 Phone: 706-265-3575 | |
Mr. Susan Marie Heintz, P.T. Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 6002 Highway 53, E. #100, Dawsonville, GA 30534 Phone: 706-265-8790 | |
Benchmark Pt Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 78 Dawson Village Way N Ste 230, Dawsonville, GA 30534 Phone: 678-865-8449 Fax: 678-865-8451 |