| Dr Jeffery Michael Deatherage, DC | |
|
36101 Bob Hope Dr Ste A, Rancho Mirage, CA 92270-2001 | |
| (760) 321-1315 | |
| (760) 321-1094 |
| Full Name | Dr Jeffery Michael Deatherage |
|---|---|
| Gender | Male |
| Speciality | Chiropractor - Rehabilitation |
| Location | 36101 Bob Hope Dr Ste A, Rancho Mirage, California |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1962784595 | NPI | - | NPPES |
| 16116 | Other | TX | CHIROPRACTIC LICENSE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 111NR0400X | Chiropractor - Rehabilitation | 16116 (Texas) | Primary |
| Provider Name | Airrosti Rehab Centers, Llc |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1497989479 PECOS PAC ID: 3678814498 Enrollment ID: O20190725000429 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Jeffery Michael Deatherage, DC 36101 Bob Hope Dr Ste A, Rancho Mirage, CA 92270-2001 Ph: (760) 321-1315 | Dr Jeffery Michael Deatherage, DC 36101 Bob Hope Dr Ste A, Rancho Mirage, CA 92270-2001 Ph: (760) 321-1315 |
Kenneth Blake, H.I.S. Chiropractor Medicare: Not Enrolled in Medicare Practice Location: 39000 Bob Hope Drive Probst 315, Rancho Mirage, CA 92270 Phone: 760-625-6616 Fax: 442-666-3766 | |
Dr. Chris Michael Dagostino, D.C. Chiropractor Medicare: Not Enrolled in Medicare Practice Location: 41750 Rancho Las Palmas Dr, Suite E2, Rancho Mirage, CA 92270 Phone: 760-773-2600 Fax: 760-773-2608 | |
Dr. Seth David Goldstein, DC Chiropractor Medicare: Accepting Medicare Assignments Practice Location: 36101 Bob Hope Dr Ste A, Rancho Mirage, CA 92270 Phone: 760-321-1315 Fax: 760-321-1094 | |
Michael Kirk Thorsen, DC Chiropractor Medicare: Not Enrolled in Medicare Practice Location: 69844 Hwy 111, Ste#d, Rancho Mirage, CA 92270 Phone: 760-321-1613 Fax: 760-321-2863 | |
Luis A Gonzalez, D.C. Chiropractor Medicare: Medicare Enrolled Practice Location: 36101 Bob Hope Dr Ste A, Rancho Mirage, CA 92270 Phone: 760-321-1315 Fax: 760-321-1094 | |
Dr. Cristin Jade Thompson, D.C. Chiropractor Medicare: Not Enrolled in Medicare Practice Location: 36101 Bob Hope Dr, B-3, Rancho Mirage, CA 92270 Phone: 703-862-1562 | |
Dagostino Chiropractic Center Inc Chiropractor Medicare: Not Enrolled in Medicare Practice Location: 41750 Rancho Las Palmas Dr, Ste E2, Rancho Mirage, CA 92270 Phone: 760-773-2600 Fax: 760-773-2608 |