| Jennifer Forge, PT | |
|
12952 Bandera Rd Ste 107, Helotes, TX 78023-4733 | |
| (210) 372-9600 | |
| Not Available |
| Full Name | Jennifer Forge |
|---|---|
| Gender | Female |
| Speciality | Physical Therapist |
| Location | 12952 Bandera Rd Ste 107, Helotes, Texas |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1861904328 | NPI | - | NPPES |
| 1290821 | Other | TX | TEXAS PHYSICAL THERAPY LISCENSE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225100000X | Physical Therapist | 1290821 (Texas) | Primary |
| Provider Name | Southern California Permanente Medical Group |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1770515280 PECOS PAC ID: 6002729175 Enrollment ID: O20031110000678 |
| Mailing Address | Practice Location Address |
|---|---|
| Jennifer Forge, PT 8627 Cinnamon Creek Dr Ste 402, San Antonio, TX 78240-1482 Ph: (210) 695-8731 | Jennifer Forge, PT 12952 Bandera Rd Ste 107, Helotes, TX 78023-4733 Ph: (210) 372-9600 |
Brendan M Mackin, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 12952 Bandera Rd Ste 107, Helotes, TX 78023 Phone: 210-372-9600 | |
Mr. Mark Joseph Bauernfeind, PT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 12952 Bandera Rd, Ste. 107, Helotes, TX 78023 Phone: 210-372-9600 Fax: 210-372-0211 | |
Georgia L. Groomer, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 11326 Newkirk, Helotes, TX 78023 Phone: 210-413-8002 | |
Mrs. Susan Elizabeth Frechette, PT Physical Therapist Medicare: Medicare Enrolled Practice Location: 10526 Wind Walker, Helotes, TX 78023 Phone: 726-610-0469 Fax: 210-729-1889 | |
Leesa J Nelson, Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 12952 Bandera Rd, Suite 107, Helotes, TX 78023 Phone: 210-695-8731 Fax: 210-598-0432 | |
Jenna Medlock, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 12952 Bandera Rd Ste 107, Helotes, TX 78023 Phone: 210-372-9600 Fax: 210-392-9923 | |
Diane Casey, P.T. Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 12952 Bandera Rd, #107, Helotes, TX 78023 Phone: 210-372-9600 Fax: 210-392-9923 |