Jeremy Stephenson, is a
Physical Therapist based in Russell, Kentucky. Jeremy Stephenson is licensed to practice in Kentucky (license number 006678) and his current practice location is
1451 Diederich Blvd, Russell, Kentucky. He can be reached at his office (for appointments etc.) via phone at
(606) 836-6683.
NPI number for Jeremy Stephenson is 1215470125 and his current mailing address is 1451 Diederich Blvd, Russell, Kentucky. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1215470125.
Healthcare Provider's Profile
Full Name | Jeremy Stephenson |
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Gender | Male |
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Speciality | Physical Therapist |
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Location | 1451 Diederich Blvd, Russell, Kentucky |
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Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
NPI Data:
- NPI Number: 1215470125
- Provider Enumeration Date: 11/24/2016
- Last Update Date: 12/04/2023
Medical Identifiers
Medical identifiers for Jeremy Stephenson such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1215470125 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
225100000X | Physical Therapist | 004165 (West Virginia) | Secondary |
225100000X | Physical Therapist | 006678 (Kentucky) | 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. Jeremy Stephenson 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 |
Jeremy Stephenson, 1451 Diederich Blvd, Russell, KY 41169-1718 Ph: (606) 836-6683 | Jeremy Stephenson, 1451 Diederich Blvd, Russell, KY 41169-1718 Ph: (606) 836-6683 |
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