Jordan Vandyke, | |
200 Health Care Dr, Greenville, IL 62246-1154 | |
(618) 664-2626 | |
Not Available |
Full Name | Jordan Vandyke |
---|---|
Gender | Male |
Speciality | Physical Therapy |
Experience | 5 Years |
Location | 200 Health Care Dr, Greenville, Illinois |
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 |
---|---|---|---|
1841836533 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
225100000X | Physical Therapist | 070024599 (Illinois) | Primary |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Imove Telept, Llc | 0244661544 | 7 |
Imove Telept, Llc | 0244661544 | 7 |
Jdv Physical Therapy Llc | 6406205509 | 2 |
Provider Name | Apex Physical Therapy Llc |
---|---|
Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1033166061 PECOS PAC ID: 2264423458 Enrollment ID: O20040518000891 |
Provider Name | Imove Telept, Llc |
---|---|
Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
Provider Identifiers | NPI Number: 1548896442 PECOS PAC ID: 0244661544 Enrollment ID: O20210323000185 |
Mailing Address | Practice Location Address |
---|---|
Jordan Vandyke, 21 Chelsea Rd, Collinsville, IL 62234-4871 Ph: () - | Jordan Vandyke, 200 Health Care Dr, Greenville, IL 62246-1154 Ph: (618) 664-2626 |
Mrs. Tammy Sue Tulacro, LPT/LAT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1105 E Harris Ave, Greenville, IL 62246 Phone: 618-664-4600 | |
Anna White, Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 200 Health Care Dr, Greenville, IL 62246 Phone: 618-651-0444 | |
Mr. Michael P Irving, PT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 610 E City Route 40, Greenville, IL 62246 Phone: 618-664-9720 Fax: 618-664-9721 | |
Lacey Wiegmann, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 200 Health Care Dr, Greenville, IL 62246 Phone: 618-664-2626 | |
Susan Elizabeth Vandenbergh, P.T. Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 605 S Dewey St, Greenville, IL 62246 Phone: 618-627-7748 | |
Ms. Krystal Marie Mcclenahan, MPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 200 Health Care Dr, Greenville, IL 62246 Phone: 618-664-1230 |