Mr Jerry L Heselton, PT | |
101 W University Ave, Champaign, IL 61820-3909 | |
(217) 366-1323 | |
Not Available |
Full Name | Mr Jerry L Heselton |
---|---|
Gender | Male |
Speciality | Physical Therapist |
Location | 101 W University Ave, Champaign, Illinois |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1356357800 | NPI | - | NPPES |
205364 | Other | MEDICARE GROUP | |
P00002221 | Other | RAILROAD MEDICARE |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
225100000X | Physical Therapist | 070012161 (Illinois) | Primary |
Provider Name | Comprehensive Therapeutics Ltd |
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Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1699094102 PECOS PAC ID: 8921230137 Enrollment ID: O20140422000663 |
Mailing Address | Practice Location Address |
---|---|
Mr Jerry L Heselton, PT 101 W University Ave, Champaign, IL 61820-3909 Ph: (217) 366-1323 | Mr Jerry L Heselton, PT 101 W University Ave, Champaign, IL 61820-3909 Ph: (217) 366-1323 |
Mrs. Angela J Cusick, P.T. Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 3101 Fields South Dr, Champaign, IL 61822 Phone: 217-366-1323 | |
Jasmine A Evans, PT, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 101 W University Ave, Champaign, IL 61820 Phone: 217-366-1323 | |
Blake P Doane, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 2906 Crossing Ct, Champaign, IL 61822 Phone: 217-398-9800 Fax: 217-366-0037 | |
Keith A Sternhagen, PT, MSPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 2906 Crossing Ct, Champaign, IL 61822 Phone: 217-356-6543 Fax: 217-356-8010 | |
Benjamin Kim, PT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 2906 Crossing Ct, Champaign, IL 61822 Phone: 217-398-9800 Fax: 217-366-0036 | |
Whitney A Walker, PT, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 2403 Village Green Pl, Champaign, IL 61822 Phone: 217-359-4549 Fax: 217-359-4620 | |
Mateusz Wesolowski, PT,DPT Physical Therapist Medicare: Medicare Enrolled Practice Location: 602 S Neil St, Champaign, IL 61820 Phone: 217-649-0504 Fax: 217-253-8511 |