Mr Jeremy Wayne Hegman, DPT | |
4141 Poleline Rd Ste A, Pocatello, ID 83202-4904 | |
(208) 242-8617 | |
(833) 608-2470 |
Full Name | Mr Jeremy Wayne Hegman |
---|---|
Gender | Male |
Speciality | Physical Therapy |
Experience | 4 Years |
Location | 4141 Poleline Rd Ste A, Pocatello, Idaho |
Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1215537196 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
225100000X | Physical Therapist | PT-6704 (Idaho) | Primary |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Specialized Physical Therapy Pllc | 7719211754 | 3 |
Provider Name | Specialized Physical Therapy Pllc |
---|---|
Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
Provider Identifiers | NPI Number: 1215381181 PECOS PAC ID: 7719211754 Enrollment ID: O20190626000667 |
Mailing Address | Practice Location Address |
---|---|
Mr Jeremy Wayne Hegman, DPT 4141 Poleline Rd Ste A, Pocatello, ID 83202-4904 Ph: (208) 242-8617 | Mr Jeremy Wayne Hegman, DPT 4141 Poleline Rd Ste A, Pocatello, ID 83202-4904 Ph: (208) 242-8617 |
Dr. Jared Denor Lundquist, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 2450 Skylar Pl, Pocatello, ID 83201 Phone: 435-339-9058 | |
Bart William Mcdonald, MPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 1800 Flandro Dr, 190, Pocatello, ID 83202 Phone: 208-233-2248 Fax: 208-233-0219 | |
Mr. Trent Jackman, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: Garrison Bldg 63, Room 202, Stop 8045, Pocatello, ID 83209 Phone: 208-282-3065 | |
Laura M Sprague, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 285 Vista Dr, Suite A, Pocatello, ID 83201 Phone: 208-478-1488 Fax: 208-478-1498 | |
Mr. Joshua Strait, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 1800 Flandro Dr Ste 190, Pocatello, ID 83202 Phone: 208-233-2248 Fax: 208-233-0219 | |
Kaitlin Bailey Livesay Vail, Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 921 S 8th Ave Stop 8045, Pocatello, ID 83201 Phone: 208-282-4095 | |
Streamline Sports Physical Therapy Pc Physical Therapist Medicare: Medicare Enrolled Practice Location: 335 E Lewis St Ste 10, Pocatello, ID 83201 Phone: 208-269-2360 Fax: 208-550-3256 |