Kelsey Gerdes, | |
628 S Madison St, Lebanon, IL 62254-1743 | |
(618) 310-3459 | |
Not Available |
Full Name | Kelsey Gerdes |
---|---|
Gender | Female |
Speciality | Physical Therapist |
Location | 628 S Madison St, Lebanon, Illinois |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1649038464 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
225100000X | Physical Therapist | 070028076 (Illinois) | Primary |
Provider Name | Apex Physical Therapy Llc |
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Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1033166061 PECOS PAC ID: 2264423458 Enrollment ID: O20040518000891 |
Provider Name | Apex Physical Therapy Llc |
---|---|
Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
Provider Identifiers | NPI Number: 1033166061 PECOS PAC ID: 2264423458 Enrollment ID: O20041209000762 |
Mailing Address | Practice Location Address |
---|---|
Kelsey Gerdes, 902 Angie St, Bartelso, IL 62218-1460 Ph: (618) 971-3373 | Kelsey Gerdes, 628 S Madison St, Lebanon, IL 62254-1743 Ph: (618) 310-3459 |
Andrea Bahan, MPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1 Perryman St, Lebanon, IL 62254 Phone: 618-537-6165 | |
Lori Toennies, P.T. Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 114 Wakanda Dr, Suite A, Lebanon, IL 62254 Phone: 618-310-3459 | |
Adrienne Klein, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1 Perryman St, Lebanon, IL 62254 Phone: 618-537-6165 |