Mr Jesse Mark Divakar, DPT | |
3708 Northside Dr, Macon, GA 31210 | |
(478) 254-5303 | |
Not Available |
Full Name | Mr Jesse Mark Divakar |
---|---|
Gender | Male |
Speciality | Physical Therapy |
Experience | 8 Years |
Location | 3708 Northside Dr, Macon, Georgia |
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 |
---|---|---|---|
1255888244 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
225100000X | Physical Therapist | PT012644 (Georgia) | Primary |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Macon Orthopaedic And Hand Center, Pa | 7911994835 | 89 |
Provider Name | Macon Orthopaedic & Hand Center, Pa |
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Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1356489850 PECOS PAC ID: 7911994835 Enrollment ID: O20040430000378 |
Mailing Address | Practice Location Address |
---|---|
Mr Jesse Mark Divakar, DPT 3708 Northside Dr, Macon, GA 31210-2404 Ph: (478) 254-5303 | Mr Jesse Mark Divakar, DPT 3708 Northside Dr, Macon, GA 31210 Ph: (478) 254-5303 |
Kids In Waterland Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 4500 Billy Williamson Dr, Suite 9, Macon, GA 31206 Phone: 478-538-3708 Fax: 478-474-7713 | |
The Athletic Therapy & Rehab Institute (atari) Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 4660 Riverside Park Blvd, Macon, GA 31210 Phone: 478-474-0240 Fax: 478-474-5043 | |
Paige Parker, D.P.T Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 3708 Northside Dr, Macon, GA 31210 Phone: 478-745-4206 | |
Mrs. Roselily Viray, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 439 Ashville Dr, Macon, GA 31210 Phone: 478-757-9321 | |
Noel B Sardoma, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 770 Hemlock St, Macon, GA 31201 Phone: 478-633-1040 | |
Nancy Faye Gayton, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 7440 Thomaston Rd, Macon, GA 31220 Phone: 478-757-1338 Fax: 478-757-8225 | |
Ms. Teresa Long Pierce, P.T. Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 4523 Forsyth Rd, Macon, GA 31210 Phone: 478-254-7010 |