Miss Jessica Marling Clayton, DPT | |
4616 Highway 84 W, Vidalia, LA 71373-3357 | |
(318) 336-5400 | |
(318) 336-8621 |
Full Name | Miss Jessica Marling Clayton |
---|---|
Gender | Female |
Speciality | Physical Therapy |
Experience | 18 Years |
Location | 4616 Highway 84 W, Vidalia, Louisiana |
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 |
---|---|---|---|
1154596377 | NPI | - | NPPES |
236280 | Medicaid | LA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
2251X0800X | Physical Therapist - Orthopedic | 09009R (Louisiana) | Primary |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Core Physical Therapy, Llc | 2062738172 | 2 |
Provider Name | Core Physical Therapy, Llc |
---|---|
Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1548659840 PECOS PAC ID: 2062738172 Enrollment ID: O20150309001742 |
Mailing Address | Practice Location Address |
---|---|
Miss Jessica Marling Clayton, DPT 4616 Highway 84 W, Vidalia, LA 71373-3357 Ph: (318) 336-5400 | Miss Jessica Marling Clayton, DPT 4616 Highway 84 W, Vidalia, LA 71373-3357 Ph: (318) 336-5400 |
Mrs. Lacey Ozburn, DPT Physical Therapist Medicare: Medicare Enrolled Practice Location: 4616 Highway 84 W, Vidalia, LA 71373 Phone: 318-336-5400 Fax: 318-336-8621 | |
Erin Fournet Woodruff, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 402 Holly Street, Vidalia, LA 71373 Phone: 318-336-6500 | |
Michael R Wimberly Ii, PT,MPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 107 Front St, Suite 230, Vidalia, LA 71373 Phone: 318-336-2224 Fax: 318-336-6068 | |
James Justin Garner, PT,MPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 107 Front Street, Suite 210, Vidalia, LA 71373 Phone: 318-336-2224 Fax: 318-336-6067 |