| Jasmine Henry, | |
|
202 Lincolnway E Ste 100, Mishawaka, IN 46544-2079 | |
| (574) 647-2560 | |
| (574) 647-2563 |
| Full Name | Jasmine Henry |
|---|---|
| Gender | Female |
| Speciality | Physical Therapist In Private Practice |
| Experience | 6 Years |
| Location | 202 Lincolnway E Ste 100, Mishawaka, Indiana |
| 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 |
|---|---|---|---|
| 1356019004 | NPI | - | NPPES |
| 300073054 | Medicaid | IN | |
| 5501019939 | Other | MI | PHYSICAL THERAPIST |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225100000X | Physical Therapist | 05014501A (Indiana) | Primary |
| 208100000X | Physical Medicine & Rehabilitation | 5501019939 (Michigan) | Secondary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Orthopedic And Sports Medicine Center Of Northern Indiana Inc | 0840260105 | 48 |
| Provider Name | Beacon Health Llc |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1386154821 PECOS PAC ID: 1254690530 Enrollment ID: O20180111002456 |
| Mailing Address | Practice Location Address |
|---|---|
| Jasmine Henry, 3245 Health Dr Ste 100, Granger, IN 46530-1380 Ph: (574) 647-2713 | Jasmine Henry, 202 Lincolnway E Ste 100, Mishawaka, IN 46544-2079 Ph: (574) 647-2560 |
Coronel Einna-ernest Lopez, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 5325 Grape Rd Ste C, Mishawaka, IN 46545 Phone: 574-404-8405 Fax: 574-314-9034 | |
Cory Goodson, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1420 E Douglas Rd, Mishawaka, IN 46545 Phone: 574-307-7200 | |
Leslie Ann Laughlin, PT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 221 W Day Rd, Mishawaka, IN 46545 Phone: 574-256-9420 Fax: 574-256-9465 | |
Eduardo Campos-hernandez, PT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 202 Lincolnway E Ste 100, Mishawaka, IN 46544 Phone: 574-647-2560 Fax: 574-647-2563 | |
Ergonomic Health Solutions Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 3640 Edison Lakes Pkwy, Suite B, Mishawaka, IN 46545 Phone: 574-256-6704 Fax: 574-256-2284 | |
Mr. Travis Wayne Vander Reyden, P.T. Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 60160 Bodnar Blvd, Mishawaka, IN 46544 Phone: 574-247-9441 | |
Jonathan D.v. Sanner, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 3740 Edison Lakes Pkwy, Mishawaka, IN 46545 Phone: 574-252-4150 Fax: 574-252-4159 |