| Brenda Kay Jerald, DPT | |
|
30544 Highway 200 Ste 326, Ponderay, ID 83852-5042 | |
| (208) 205-9559 | |
| Not Available |
| Full Name | Brenda Kay Jerald |
|---|---|
| Gender | Female |
| Speciality | Physical Therapist In Private Practice |
| Experience | 15 Years |
| Location | 30544 Highway 200 Ste 326, Ponderay, Idaho |
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1679853501 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225100000X | Physical Therapist | PT-2889 (Idaho) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Shellman Inc Pa | 4981592938 | 43 |
| Provider Name | Ironwood Drive Physical Therapy Pa |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1801812482 PECOS PAC ID: 1557345436 Enrollment ID: O20040617000362 |
| Mailing Address | Practice Location Address |
|---|---|
| Brenda Kay Jerald, DPT 1917 N Lakewood Dr, Coeur D Alene, ID 83814-2634 Ph: () - | Brenda Kay Jerald, DPT 30544 Highway 200 Ste 326, Ponderay, ID 83852-5042 Ph: (208) 205-9559 |
Eden Hospice At The Inland Northwest, Llc Physical Therapist Medicare: Medicare Enrolled Practice Location: 676 N Triangle Dr, Ponderay, ID 83852 Phone: 208-255-1640 | |
Alice Loraine, DPT, OMS Physical Therapist Medicare: May Accept Medicare Assignments Practice Location: 210 Triangle Dr Ste E, Ponderay, ID 83852 Phone: 208-946-5364 Fax: 208-946-5364 | |
Eric Demers, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 30336 Highway 200 Ste B, Ponderay, ID 83852 Phone: 208-265-8333 Fax: 208-263-1394 | |
Eden Home Health Of Sandpoint, Llc Physical Therapist Medicare: Medicare Enrolled Practice Location: 676 N Triangle Dr, Ponderay, ID 83852 Phone: 208-255-1640 | |
Benjamin Lusk, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 30544 Id-200, Ponderay, ID 83852 Phone: 208-205-9559 Fax: 808-431-4244 | |
Tristan A Clements, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 30544 Highway 200 Ste 326, Ponderay, ID 83852 Phone: 208-205-9559 |