Krystal Jenness, PT | |
1282 Main St, Fairfax, VT 05454-9534 | |
(802) 849-9308 | |
(802) 849-9752 |
Full Name | Krystal Jenness |
---|---|
Gender | Female |
Speciality | Physical Therapy |
Experience | 47 Years |
Location | 1282 Main St, Fairfax, Vermont |
Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1114957131 | NPI | - | NPPES |
29696 | Other | VT | BCBS OF VT PROVIDER # |
1006936 | Medicaid | VT | |
9150484 | Other | VT | CIGNA PROVIDER # |
364674 | Other | VT | MVP PROVIDER # |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
225100000X | Physical Therapist | 0400000972 (Vermont) | Primary |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Fairfax Family Physical Therapy, P.c. | 2365519857 | 2 |
Provider Name | Fairfax Family Physical Therapy, P.c. |
---|---|
Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
Provider Identifiers | NPI Number: 1275797276 PECOS PAC ID: 2365519857 Enrollment ID: O20150320001190 |
Mailing Address | Practice Location Address |
---|---|
Krystal Jenness, PT 303 Lloyd Rd, Fairfax, VT 05454-4403 Ph: () - | Krystal Jenness, PT 1282 Main St, Fairfax, VT 05454-9534 Ph: (802) 849-9308 |
Liana Merkel, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1282 Main St, Fairfax, VT 05454 Phone: 802-849-9308 Fax: 802-849-9752 | |
Fairfax Family Physical Therapy, P.c. Physical Therapist Medicare: Medicare Enrolled Practice Location: 1282 Main St, Fairfax, VT 05454 Phone: 802-849-9308 | |
Michael Woods, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1282 Main St, Fairfax, VT 05454 Phone: 802-849-9308 | |
Kristen Nicole Merrill, PT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 1282 Main St, Fairfax, VT 05454 Phone: 802-849-9308 | |
Dr. Trevor Gregory Trombley, PT, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 1282 Main St, Fairfax, VT 05454 Phone: 802-849-9308 | |
Christina Hr Allard, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 34 Dewey Rd, Fairfax, VT 05454 Phone: 802-527-9958 |