Mr Jacob Lee Bean, MPT | |
6820 El Dorado Dr, Prescott, AZ 86303 | |
(928) 308-3462 | |
Not Available |
Full Name | Mr Jacob Lee Bean |
---|---|
Gender | Male |
Speciality | Physical Therapist |
Location | 6820 El Dorado Dr, Prescott, Arizona |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1588805907 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
225100000X | Physical Therapist | PT-009376 (Arizona) | Primary |
Provider Name | Silver Saguaro Llc |
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Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
Provider Identifiers | NPI Number: 1417710542 PECOS PAC ID: 0840637450 Enrollment ID: O20240319001185 |
Mailing Address | Practice Location Address |
---|---|
Mr Jacob Lee Bean, MPT 6820 El Dorado Dr, Prescott, AZ 86303-6526 Ph: (928) 308-3462 | Mr Jacob Lee Bean, MPT 6820 El Dorado Dr, Prescott, AZ 86303 Ph: (928) 308-3462 |
Jack C. Furr Iii, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1983 Commerce Center Circle, Prescott, AZ 86301 Phone: 928-771-1700 Fax: 928-771-9900 | |
Dr. Darcy D Myers, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 3195 Stillwater Dr, Ste A, Prescott, AZ 86305 Phone: 928-771-8156 | |
Dr. Damon John Grandy, PT, DPT Physical Therapist Medicare: Medicare Enrolled Practice Location: 3117 Stillwater Dr, Prescott, AZ 86305 Phone: 928-442-0005 | |
Mrs. Janelle Hicks Goligoski, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 3117 Stillwater Dr, Prescott, AZ 86305 Phone: 928-442-0005 | |
Dr. Mikaela F Colner, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 3117 Stillwater Dr, Prescott, AZ 86305 Phone: 928-442-0005 | |
Cheryl Ann Newman, PT Physical Therapist Medicare: Medicare Enrolled Practice Location: 3623 Crossings Dr Ste 282, Prescott, AZ 86305 Phone: 928-296-9285 | |
Christopher Cox Legler, PT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 1320 W Iron Springs Rd, Prescott, AZ 86305 Phone: 928-771-2977 Fax: 928-771-2987 |