Jesse Tyler Cook, DPT | |
134 E Idaho Ave, Homedale, ID 83628-5003 | |
(208) 337-3254 | |
(208) 337-3264 |
Full Name | Jesse Tyler Cook |
---|---|
Gender | Male |
Speciality | Physical Therapy |
Experience | 9 Years |
Location | 134 E Idaho Ave, Homedale, Idaho |
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 |
---|---|---|---|
1700330917 | NPI | - | NPPES |
PT-4734 | Other | ID | ID LICENSE |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
225100000X | Physical Therapist | PT-4734 (Idaho) | Primary |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Eagle Physical Therapy Pa | 7719967744 | 8 |
Provider Name | Eagle Physical Therapy Pa |
---|---|
Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1750478327 PECOS PAC ID: 7719967744 Enrollment ID: O20040721001019 |
Mailing Address | Practice Location Address |
---|---|
Jesse Tyler Cook, DPT 1560 S Carol St, Meridian, ID 83646-1839 Ph: (208) 287-9420 | Jesse Tyler Cook, DPT 134 E Idaho Ave, Homedale, ID 83628-5003 Ph: (208) 337-3254 |
Brett J Homstad, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 134 E Idaho Ave, Homedale, ID 83628 Phone: 208-337-3254 Fax: 208-337-3264 | |
James M Muir, PT, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 134 E Idaho Ave, Homedale, ID 83628 Phone: 208-337-3254 Fax: 208-337-3264 | |
Hilary O'bannon, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 134 E Idaho Ave, Homedale, ID 83628 Phone: 208-337-3254 Fax: 208-337-3264 | |
Dr. Davis Madsen Borg, DPT Physical Therapist Medicare: Medicare Enrolled Practice Location: 134 E Idaho Ave, Homedale, ID 83628 Phone: 208-337-3254 | |
Kerby Andersen, Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 134 E Idaho Ave, Homedale, ID 83628 Phone: 208-337-3254 |