| Jason Marc Marchetti, MD | |
|
546 E Sandy Lake Rd, Ste 250, Coppell, TX 75019-5791 | |
| (469) 307-5109 | |
| (888) 417-4939 |
| Full Name | Jason Marc Marchetti |
|---|---|
| Gender | Male |
| Speciality | Physical Medicine & Rehabilitation |
| Location | 546 E Sandy Lake Rd, Coppell, Texas |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1780629469 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208100000X | Physical Medicine & Rehabilitation | L7470 (Texas) | Primary |
| Entity Name | Jason Marchetti Md Pa |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1144493156 PECOS PAC ID: 0840379277 Enrollment ID: O20080509000261 |
| Mailing Address | Practice Location Address |
|---|---|
| Jason Marc Marchetti, MD 600 W Campbell Rd Ste 7, Richardson, TX 75080-3357 Ph: (469) 307-5109 | Jason Marc Marchetti, MD 546 E Sandy Lake Rd, Ste 250, Coppell, TX 75019-5791 Ph: (469) 307-5109 |
Travis Doom, PT, DPT Physical Medicine & Rehabilitation Medicare: Not Enrolled in Medicare Practice Location: 413 W Bethel Rd Ste 400, Coppell, TX 75019 Phone: 972-304-9100 Fax: 972-304-9048 | |
Brandon Krol, Physical Medicine & Rehabilitation Medicare: Not Enrolled in Medicare Practice Location: 8840 Cypress Waters Blvd Ste 300, Coppell, TX 75019 Phone: 800-788-4815 | |
Gina Hahn, DPT Physical Medicine & Rehabilitation Medicare: Not Enrolled in Medicare Practice Location: 8840 Cypress Waters Blvd Ste 300, Coppell, TX 75019 Phone: 866-752-7934 |