Michelle Louise Jacelon, PT | |
406 S Main St, Winnsboro, TX 75494-3226 | |
(903) 342-6790 | |
Not Available |
Full Name | Michelle Louise Jacelon |
---|---|
Gender | Female |
Speciality | Physical Therapist |
Location | 406 S Main St, Winnsboro, Texas |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1497231476 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
225100000X | Physical Therapist | 1128429 (Texas) | Primary |
Provider Name | Legacy Healthcare Services Inc |
---|---|
Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
Provider Identifiers | NPI Number: 1871132357 PECOS PAC ID: 2163339722 Enrollment ID: O20170201001261 |
Mailing Address | Practice Location Address |
---|---|
Michelle Louise Jacelon, PT 106 Rambling Rd, Carthage, TX 75633-3282 Ph: (903) 918-3308 | Michelle Louise Jacelon, PT 406 S Main St, Winnsboro, TX 75494-3226 Ph: (903) 342-6790 |
Cordelia Carrington Lovett, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: Rehab Solutions, 406 S Main Street, Winnsboro, TX 75494 Phone: 903-342-6790 | |
Dr. Hallie Newsom, PT, DPT Physical Therapist Medicare: Medicare Enrolled Practice Location: 209 E Broadway St, Winnsboro, TX 75494 Phone: 903-342-6300 Fax: 903-342-6308 | |
Janine Lim, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 406 S Main St, Winnsboro, TX 75494 Phone: 903-342-6790 | |
Janet Aubrey, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 406 S Main St, Winnsboro, TX 75494 Phone: 903-342-6790 | |
Mr. Stephen Leone, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 406 S Main St, Winnsboro, TX 75494 Phone: 903-342-6790 | |
Cody Newsom, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 406 S Main St, Winnsboro, TX 75494 Phone: 903-342-6790 Fax: 903-342-6791 | |
Mr. Walter Roy Davis, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 406 S Main St, Winnsboro, TX 75494 Phone: 903-508-1962 |