Jose Luis Dejesus, DPT | |
122 Branchwood Shopping Ctr, Jacksonville, NC 28546-5800 | |
(910) 938-7555 | |
(910) 938-7544 |
Full Name | Jose Luis Dejesus |
---|---|
Gender | Male |
Speciality | Physical Therapy |
Experience | 16 Years |
Location | 122 Branchwood Shopping Ctr, Jacksonville, North Carolina |
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 |
---|---|---|---|
1114173242 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
225100000X | Physical Therapist | 11763 (North Carolina) | Primary |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Champion Physical Therapy Llc | 6800985417 | 8 |
Provider Name | Champion Physical Therapy Llc |
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Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1053509299 PECOS PAC ID: 6800985417 Enrollment ID: O20071205000193 |
Mailing Address | Practice Location Address |
---|---|
Jose Luis Dejesus, DPT Po Box 12909, New Bern, NC 28561-2909 Ph: (910) 938-7555 | Jose Luis Dejesus, DPT 122 Branchwood Shopping Ctr, Jacksonville, NC 28546-5800 Ph: (910) 938-7555 |
Erin M Ryan, DPT Physical Therapist Medicare: Medicare Enrolled Practice Location: 2453 Gum Branch Rd Ste 600, Jacksonville, NC 28540 Phone: 910-353-9800 Fax: 910-455-2083 | |
Kelsey Aldi, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 122 Branchwood Shopping Ctr, Jacksonville, NC 28546 Phone: 910-938-7555 | |
Dr. Taylor Chadwick Bryan, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 2453 Gum Branch Rd Ste 600, Jacksonville, NC 28540 Phone: 910-353-9800 Fax: 910-455-2083 | |
Mr. Frank J Mikloucich Jr., D.P.T. Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 3060 Henderson Dr, Jacksonville, NC 28546 Phone: 910-346-3151 Fax: 910-346-2975 | |
Heather Koopman, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 2000 Brabham Ave Ste 100, Jacksonville, NC 28546 Phone: 910-332-3800 Fax: 910-251-0421 | |
Darrin Eugene Madole, PT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 122 Branchwood Shopping Ctr, Jacksonville, NC 28546 Phone: 910-938-7555 Fax: 910-938-7544 |