Jill Amanda Derums, PT, DPT is a
Physical Therapist based in Pine Mountain Valley, Georgia. Jill Amanda Derums is licensed to practice in Georgia (license number 006875) and her current practice location is
217 K Street, Pine Mountain Valley, Georgia. She can be reached at her office (for appointments etc.) via phone at
(706) 457-9542.
NPI number for Jill Amanda Derums is 1417277989 and her current mailing address is Po Box 141, Pine Mountain Valley, Georgia. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1417277989.
Healthcare Provider's Profile
Full Name | Jill Amanda Derums |
---|
Gender | Female |
---|
Speciality | Physical Therapist |
---|
Location | 217 K Street, Pine Mountain Valley, Georgia |
---|
Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1417277989
- Provider Enumeration Date: 06/08/2010
- Last Update Date: 06/26/2012
Medical Identifiers
Medical identifiers for Jill Amanda Derums such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1417277989 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
225100000X | Physical Therapist | 006875 (Georgia) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Jill Amanda Derums is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Jill Amanda Derums, PT, DPT Po Box 141, Pine Mountain Valley, GA 31823-0141 Ph: (706) 457-9542 | Jill Amanda Derums, PT, DPT 217 K Street, Pine Mountain Valley, GA 31823-0141 Ph: (706) 457-9542 |
Reviews and Comments