Kaleb Delton Smith, DPT | |
117 Bo Bo Dr, Crystal Springs, MS 39059-2741 | |
(601) 892-6330 | |
(601) 892-6331 |
Full Name | Kaleb Delton Smith |
---|---|
Gender | Male |
Speciality | Physical Therapy |
Experience | 4 Years |
Location | 117 Bo Bo Dr, Crystal Springs, Mississippi |
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 |
---|---|---|---|
1295350981 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
225100000X | Physical Therapist | PT6894 (Mississippi) | Primary |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Drayer Physical Therapy Mississippi Llc | 3274834858 | 113 |
Provider Name | Drayer Physical Therapy Mississippi Llc |
---|---|
Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
Provider Identifiers | NPI Number: 1952732448 PECOS PAC ID: 3274834858 Enrollment ID: O20160314001040 |
Mailing Address | Practice Location Address |
---|---|
Kaleb Delton Smith, DPT 802 Lakeland Dr Apt 245, Jackson, MS 39216-4622 Ph: (601) 580-2775 | Kaleb Delton Smith, DPT 117 Bo Bo Dr, Crystal Springs, MS 39059-2741 Ph: (601) 892-6330 |
Cynthia Tronstad, PT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 117 Bo Bo Dr, Crystal Springs, MS 39059 Phone: 601-892-6330 Fax: 601-892-6331 | |
Taylor Wilson, PT Physical Therapist Medicare: Medicare Enrolled Practice Location: 102 W Railroad Ave N, Crystal Springs, MS 39059 Phone: 601-647-9010 Fax: 601-647-9011 | |
Amber Gail Mccullum, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 512 Harmony Rd, Crystal Springs, MS 39059 Phone: 601-750-7180 | |
Mrs. Tonya G Mclendon, PT Physical Therapist Medicare: Medicare Enrolled Practice Location: 102 W Railroad Ave N, Crystal Springs, MS 39059 Phone: 601-892-8707 Fax: 601-892-7614 | |
Shirley Moncure, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 117 Bo Bo Dr, Crystal Springs, MS 39059 Phone: 601-892-6330 | |
Kara Marie Hudson, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 117 Bo Bo Dr, Crystal Springs, MS 39059 Phone: 601-892-6330 Fax: 601-892-6331 |