| Jason Patrick Proud, DPT | |
|
3455 Rewak Dr Ste 106, Fairbanks, AK 99709-5024 | |
| (907) 457-5322 | |
| (907) 313-5322 |
| Full Name | Jason Patrick Proud |
|---|---|
| Gender | Male |
| Speciality | Physical Therapist In Private Practice |
| Experience | 2 Years |
| Location | 3455 Rewak Dr Ste 106, Fairbanks, Alaska |
| 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 |
|---|---|---|---|
| 1558195917 | NPI | - | NPPES |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Kitsap Physical Therapy And Sports Clinic Ps Inc | 6507762333 | 102 |
| Provider Name | Kitsap Physical Therapy And Sports Clinic Ps Inc |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1912902347 PECOS PAC ID: 6507762333 Enrollment ID: O20031211000242 |
| Mailing Address | Practice Location Address |
|---|---|
| Jason Patrick Proud, DPT 3455 Rewak Dr Ste 106, Fairbanks, AK 99709-5024 Ph: (907) 457-5322 | Jason Patrick Proud, DPT 3455 Rewak Dr Ste 106, Fairbanks, AK 99709-5024 Ph: (907) 457-5322 |
Lauren Pantone, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1650 Cowles St, Fairbanks, AK 99701 Phone: 907-458-5670 | |
Tara J Scogin, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1275 Sadler Way, Suite 201, Fairbanks, AK 99701 Phone: 907-374-0992 | |
Mrs. Johnna Renee Underwood, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 459 Farmers Loop Rd, Fairbanks, AK 99712 Phone: 907-550-0587 | |
Susan Grace Mcdiarmid, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 751 Old Richardson Hwy, #202, Fairbanks, AK 99701 Phone: 907-455-4401 Fax: 907-455-4402 | |
Ms. Mary Jones, M.P.T. Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 2166 Yellow Leaf Ct, Fairbanks, AK 99709 Phone: 907-455-6875 | |
Emily Roberts Rogers, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1275 Sadler Way, Ste 201, Fairbanks, AK 99701 Phone: 907-374-0992 Fax: 907-374-0986 | |
Elizabeth Lee Myers, PT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 158 Frog Pond Cir, Fairbanks, AK 99712 Phone: 907-251-5472 Fax: 907-600-1823 |