Jessica Dale, DPT | |
144 S Carol Malone Blvd, Grayson, KY 41143-1352 | |
(606) 474-7649 | |
(606) 474-0855 |
Full Name | Jessica Dale |
---|---|
Gender | Female |
Speciality | Physical Therapy |
Experience | 6 Years |
Location | 144 S Carol Malone Blvd, Grayson, Kentucky |
Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1962993576 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
225100000X | Physical Therapist | 003964 (West Virginia) | Secondary |
225100000X | Physical Therapist | 007379 (Kentucky) | Primary |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Generations R.c., Inc. | 3577477462 | 8 |
Provider Name | Generations R.c., Inc. |
---|---|
Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
Provider Identifiers | NPI Number: 1609930379 PECOS PAC ID: 3577477462 Enrollment ID: O20031114000557 |
Mailing Address | Practice Location Address |
---|---|
Jessica Dale, DPT 144 S Carol Malone Blvd, Grayson, KY 41143-1352 Ph: (606) 474-7649 | Jessica Dale, DPT 144 S Carol Malone Blvd, Grayson, KY 41143-1352 Ph: (606) 474-7649 |
Jade Stumbo, DPT Physical Therapist Medicare: Medicare Enrolled Practice Location: 144 S Carol Malone Blvd, Grayson, KY 41143 Phone: 606-474-7649 Fax: 606-474-0855 | |
Whitley Faith Bornhauser, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 144 S Carol Malone Blvd, Grayson, KY 41143 Phone: 606-474-7649 | |
Stacy Acuff, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 361 Windburn Ln, Grayson, KY 41143 Phone: 606-922-2572 Fax: 606-475-9564 | |
Sunni Unger, Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 361 Windburn Ln, Grayson, KY 41143 Phone: 606-475-9564 | |
Mrs. Crystal Limings, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 144 S Carol Malone Blvd, Grayson, KY 41143 Phone: 606-474-7649 Fax: 606-474-0855 | |
Macy Bassler, PT, DPT, CBS Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 128 Rigsbees Rd, Grayson, KY 41143 Phone: 606-315-3003 | |
Mobile Therapy Services Physical Therapist Medicare: Medicare Enrolled Practice Location: 144 S Carol Malone Blvd, Grayson, KY 41143 Phone: 606-474-7649 Fax: 606-474-0855 |