| Andrea Marie Jackson, DPT | |
|
2907 Williamson County Pkwy, Marion, IL 62959-5256 | |
| (618) 998-9894 | |
| Not Available |
| Full Name | Andrea Marie Jackson |
|---|---|
| Gender | Female |
| Speciality | Physical Therapist |
| Location | 2907 Williamson County Pkwy, Marion, Illinois |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1447787031 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225100000X | Physical Therapist | 070019734 (Illinois) | Primary |
| Provider Name | Mulvaney Rehab Services Ltd |
|---|---|
| Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
| Provider Identifiers | NPI Number: 1306915129 PECOS PAC ID: 5597739664 Enrollment ID: O20040824000787 |
| Provider Name | Joyner Therapy Services |
|---|---|
| Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
| Provider Identifiers | NPI Number: 1144416736 PECOS PAC ID: 4284659657 Enrollment ID: O20051014000171 |
| Mailing Address | Practice Location Address |
|---|---|
| Andrea Marie Jackson, DPT 3801 S Water Tower Pl Apt 215, Mount Vernon, IL 62864-6591 Ph: (618) 918-1226 | Andrea Marie Jackson, DPT 2907 Williamson County Pkwy, Marion, IL 62959-5256 Ph: (618) 998-9894 |
Ms. Jolly Yana Jumamil, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 2219 B, Nicole Lane, Marion, IL 62959 Phone: 909-709-3860 | |
Joyner Therapy Services Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 2907 Williamson County Pkwy, Marion, IL 62959 Phone: 618-998-9894 | |
Mrs. Jennifer Lynn Masterson, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 11953 Porsch Pl, Marion, IL 62959 Phone: 618-977-3732 | |
Ivy Gallardo Donnelly, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 2401 W Main St, Marion, IL 62959 Phone: 618-997-5311 Fax: 618-998-5688 | |
Julie T Tiu, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 3905 W Ernestine Dr, Suite B, Marion, IL 62959 Phone: 618-993-6237 Fax: 618-997-3529 | |
Dr. Joshua Taylor Odum, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 3116 Williamson County Pkwy, Marion, IL 62959 Phone: 618-993-8600 | |
Jennifer J. Brimm, PTA, RN Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 2401 W Main St, Marion, IL 62959 Phone: 850-763-0505 |