Mrs Jennifer Banico Spurgeon, MPT is a
Physical Therapy Assistant based in Loma Linda, California. Mrs Jennifer Banico Spurgeon is licensed to practice in California (license number 5402) and her current practice location is
11201 Benton St, Loma Linda, California. She can be reached at her office (for appointments etc.) via phone at
(909) 825-7084.
NPI number for Mrs Jennifer Banico Spurgeon is 1992810386 and her current mailing address is 1601 Barton Rd Apt 2109, Redlands, California. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1992810386.
Healthcare Provider's Profile
Full Name | Mrs Jennifer Banico Spurgeon |
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Gender | Female |
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Speciality | Physical Therapy Assistant |
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Location | 11201 Benton St, Loma Linda, California |
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Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1992810386
- Provider Enumeration Date: 08/19/2006
- Last Update Date: 07/08/2007
Medical Identifiers
Medical identifiers for Mrs Jennifer Banico Spurgeon such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1992810386 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
225100000X | Physical Therapist | 29150 (California) | Primary |
225200000X | Physical Therapy Assistant | 5402 (California) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Mrs Jennifer Banico Spurgeon is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Mrs Jennifer Banico Spurgeon, MPT 1601 Barton Rd Apt 2109, Redlands, CA 92373-5346 Ph: (909) 798-3651 | Mrs Jennifer Banico Spurgeon, MPT 11201 Benton St, Loma Linda, CA 92357-1000 Ph: (909) 825-7084 |
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