| Jeanette T Barrack, PT | |
|
5360 Jackson Dr, La Mesa, CA 91942-6002 | |
| (616) 667-7000 | |
| (619) 667-4315 |
| Full Name | Jeanette T Barrack |
|---|---|
| Gender | Female |
| Speciality | Physical Therapist In Private Practice |
| Experience | 43 Years |
| Location | 5360 Jackson Dr, La Mesa, California |
| 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 |
|---|---|---|---|
| 1295940369 | NPI | - | NPPES |
| 1023103330 | Other | CA | NPI |
| PT11265 | Other | CA | PT LICENSE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225100000X | Physical Therapist | 11265 (California) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Deason Inc | 6305808718 | 3 |
| California Luna Care Physical Therapy Pc | 9638427834 | 626 |
| Provider Name | Deason Inc |
|---|---|
| Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
| Provider Identifiers | NPI Number: 1205903861 PECOS PAC ID: 6305808718 Enrollment ID: O20100813000966 |
| Provider Name | California Luna Care Physical Therapy Pc |
|---|---|
| Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
| Provider Identifiers | NPI Number: 1689162166 PECOS PAC ID: 9638427834 Enrollment ID: O20180803002123 |
| Mailing Address | Practice Location Address |
|---|---|
| Jeanette T Barrack, PT 5360 Jackson Dr Ste 110, La Mesa, CA 91942-3012 Ph: (619) 667-7000 | Jeanette T Barrack, PT 5360 Jackson Dr, La Mesa, CA 91942-6002 Ph: (616) 667-7000 |
Marybeth Mcandrew, D.P.T Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 5480 Marengo Ave, La Mesa, CA 91942 Phone: 617-680-0513 Fax: 619-441-0419 | |
Chelsea Tara Sanscartier, PT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 8881 Fletcher Pkwy Ste 385, La Mesa, CA 91942 Phone: 619-460-0137 | |
Rehabilitation Strategies Inc. Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 5360 Jackson Dr, Suite 110, La Mesa, CA 91942 Phone: 619-667-7000 Fax: 619-667-4315 | |
Nancy Lynn Nelson, P.T. Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 5565 Grossmont Center Dr, La Mesa, CA 91942 Phone: 619-589-0850 | |
Jason Hardin, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 5905 Severin Dr, La Mesa, CA 91942 Phone: 619-589-2606 | |
Andrew Clendenen, PT, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 5905 Severin Dr, La Mesa, CA 91942 Phone: 619-589-2606 Fax: 619-464-0900 | |
Rebecca Chiu, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 8787 Center Dr, La Mesa, CA 91942 Phone: 619-460-4444 |