Mr Jerry Wayne Manning, PT | |
3016 W Main St Ste 200, Russellville, AR 72801-2453 | |
(479) 967-9657 | |
(479) 967-9658 |
Full Name | Mr Jerry Wayne Manning |
---|---|
Gender | Male |
Speciality | Physical Therapy |
Experience | 24 Years |
Location | 3016 W Main St Ste 200, Russellville, Arkansas |
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 |
---|---|---|---|
1043207525 | NPI | - | NPPES |
1139955 | Medicaid | LA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
225100000X | Physical Therapist | 04847R (Louisiana) | Secondary |
225100000X | Physical Therapist | PT2457 (Arkansas) | Primary |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Lane Physical Therapy Center, Inc | 1456246818 | 4 |
Provider Name | Lane Physical Therapy Center, Inc |
---|---|
Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1104855261 PECOS PAC ID: 1456246818 Enrollment ID: O20040216001171 |
Mailing Address | Practice Location Address |
---|---|
Mr Jerry Wayne Manning, PT 3016 W Main St Ste 200, Russellville, AR 72801-2453 Ph: (479) 967-9657 | Mr Jerry Wayne Manning, PT 3016 W Main St Ste 200, Russellville, AR 72801-2453 Ph: (479) 967-9657 |
Seth B. Coulter, P.T. Physical Therapist Medicare: Medicare Enrolled Practice Location: 115 Skyline Dr, Suite A, Russellville, AR 72802 Phone: 479-967-5155 Fax: 479-967-5141 | |
Ms. Brandi Nicole Koch, PT, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1301 Russell Rd, Russellville, AR 72802 Phone: 479-967-2316 Fax: 479-967-3639 | |
Jacqueline Miller, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 500 E 3rd St, Russellville, AR 72801 Phone: 479-968-1198 Fax: 479-967-1178 | |
Nicholas Paul Lensing, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 301 N Sidney Ave, Russellville, AR 72801 Phone: 479-890-5494 Fax: 479-967-0069 | |
Kimberly D Mcdougal, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 301 Reasoner Ln, Russellville, AR 72802 Phone: 479-970-2175 Fax: 479-964-2126 | |
Allison Young, P.T. Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 500 E 3rd St, Russellville, AR 72801 Phone: 479-968-1198 |