| Cole Evans Dickerson, DPT | |
|
1415 Commerce Dr Ste A, Pocahontas, AR 72455-1495 | |
| (870) 248-0800 | |
| (870) 248-0802 |
| Full Name | Cole Evans Dickerson |
|---|---|
| Gender | Male |
| Speciality | Physical Therapist In Private Practice |
| Experience | 11 Years |
| Location | 1415 Commerce Dr Ste A, Pocahontas, Arkansas |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1881075679 | NPI | - | NPPES |
| 0446657 | Medicaid | TN | |
| 4004523 | Other | TN | BCBST |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225100000X | Physical Therapist | PT0000010465 (Tennessee) | Secondary |
| 225100000X | Physical Therapist | 5351 (Arkansas) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Five Rivers Therapy Services Limited Partnership | 3173535036 | 4 |
| Provider Name | Five Rivers Therapy Services Limited Partnership |
|---|---|
| Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
| Provider Identifiers | NPI Number: 1801840616 PECOS PAC ID: 3173535036 Enrollment ID: O20060615000306 |
| Mailing Address | Practice Location Address |
|---|---|
| Cole Evans Dickerson, DPT 1415 Commerce Dr Ste A, Pocahontas, AR 72455-1495 Ph: (870) 248-0800 | Cole Evans Dickerson, DPT 1415 Commerce Dr Ste A, Pocahontas, AR 72455-1495 Ph: (870) 248-0800 |
Amanda B Shaw, PT, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 2520 Thomasville Rd, Pocahontas, AR 72455 Phone: 870-248-1119 | |
Ashley Lebeau, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 42 Helter Rd, Pocahontas, AR 72455 Phone: 870-248-1448 | |
David Flores, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1415 Commerce Dr Ste A, Pocahontas, AR 72455 Phone: 870-248-0800 | |
Monica Koontz, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1415 Commerce Dr Ste A, Pocahontas, AR 72455 Phone: 870-248-0800 | |
Mrs. Kristi L. Harris, P.T. Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 567 Hwy 67 S, Suite B, Pocahontas, AR 72455 Phone: 870-248-1119 Fax: 870-277-0896 | |
Alyson Nicole Prichard, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 2202 Dalton St, Pocahontas, AR 72455 Phone: 870-219-4586 | |
Mrs. Katie Rae Guinn, MPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1415 Commerce Dr Ste A, Pocahontas, AR 72455 Phone: 870-248-0800 |