| Jason M Anders, DPT | |
|
201 Brightwater Dr, Myrtle Beach, SC 29579-8298 | |
| (304) 236-4131 | |
| (304) 236-4131 |
| Full Name | Jason M Anders |
|---|---|
| Gender | Male |
| Speciality | Physical Therapist |
| Location | 201 Brightwater Dr, Myrtle Beach, South Carolina |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1023002268 | NPI | - | NPPES |
| P00687438 | Other | WV | RAILROAD MEDICARE |
| 2369668 | Other | WV | MAMSI |
| 000019092 | Other | WV | BCBS |
| 9761231 | Other | CIGNA | |
| 261076 | Other | CARELINK COVENTRY | |
| 7302438000 | Medicaid | WV |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225100000X | Physical Therapist | 001945 (West Virginia) | Secondary |
| 225100000X | Physical Therapist | 8839 (South Carolina) | Primary |
| Provider Name | Paragon Outpatient Rehabilitation Services, Llc |
|---|---|
| Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
| Provider Identifiers | NPI Number: 1871867325 PECOS PAC ID: 8022272848 Enrollment ID: O20221012004094 |
| Mailing Address | Practice Location Address |
|---|---|
| Jason M Anders, DPT 201 Brightwater Dr, Myrtle Beach, SC 29579-8298 Ph: (304) 236-3579 | Jason M Anders, DPT 201 Brightwater Dr, Myrtle Beach, SC 29579-8298 Ph: (304) 236-4131 |
Alexandra Foley, DPT Physical Therapist Medicare: Medicare Enrolled Practice Location: 210 Village Center Blvd Ste 200, Myrtle Beach, SC 29579 Phone: 843-353-3460 Fax: 843-353-3461 | |
Trevor Scott Johnson, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 210 Village Center Blvd Ste 200, Myrtle Beach, SC 29579 Phone: 843-712-7023 | |
Gabrielle Diulio, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 108 Debo Dr Ste 130, Myrtle Beach, SC 29579 Phone: 843-796-2850 | |
Gavin Stepansky, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 4871 Socastee Blvd Unit E, Myrtle Beach, SC 29588 Phone: 843-293-5610 | |
Atlantic Physical Therapy & Rehabilitation, Inc Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 3650 Coalition Dr, Myrtle Beach, SC 29588 Phone: 843-293-7713 | |
Karyn Longo Congdon, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 3515 Caduceus Dr, Ste A, Myrtle Beach, SC 29588 Phone: 843-293-7085 |