| Jennifer Brackett Lewis, PT, AT,C | |
|
12 Dawson Market Way Ste 320, Dawsonville, GA 30534-7296 | |
| (470) 759-2415 | |
| (706) 441-3321 |
| Full Name | Jennifer Brackett Lewis |
|---|---|
| Gender | Female |
| Speciality | Physical Therapist |
| Location | 12 Dawson Market Way Ste 320, Dawsonville, Georgia |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1700815446 | NPI | - | NPPES |
| 52183607002 | Other | GA | BCBS MARIETTA LOCATION |
| 52183607001 | Other | GA | BCBS AUSTELL LOCATION |
| 52183607003 | Other | GA | BCBS WOODSTOCK LOCATION |
| 52183607004 | Other | GA | BCBS DOUGLASVILLE LOCATIO |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225100000X | Physical Therapist | PT005634 (Georgia) | Primary |
| Provider Name | Mcm Rehabilitation Llc |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1538226840 PECOS PAC ID: 5294798336 Enrollment ID: O20110826000205 |
| Mailing Address | Practice Location Address |
|---|---|
| Jennifer Brackett Lewis, PT, AT,C 790 Remington Blvd, Bolingbrook, IL 60440-4909 Ph: () - | Jennifer Brackett Lewis, PT, AT,C 12 Dawson Market Way Ste 320, Dawsonville, GA 30534-7296 Ph: (470) 759-2415 |
Kaylee Jones, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 477 Prominence Ct Ste 100, Dawsonville, GA 30534 Phone: 401-216-9564 Fax: 678-951-8226 | |
Priyal Doshi, DPT Physical Therapist Medicare: Medicare Enrolled Practice Location: 12 Dawson Market Way Ste 320, Dawsonville, GA 30534 Phone: 470-759-2415 Fax: 706-441-3321 | |
Joshua Elder, Physical Therapist Medicare: Medicare Enrolled Practice Location: 78 Dawson Village Way N Ste 230, Dawsonville, GA 30534 Phone: 706-265-3575 | |
Mary Therese Leppert, PTA Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 78 Dawson Village Way N Ste 230, Dawsonville, GA 30534 Phone: 706-265-3575 Fax: 706-344-1207 | |
Benjamin Hall, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 78 Dawson Village Way N Ste 230, Dawsonville, GA 30534 Phone: 706-265-3575 | |
Mr. Susan Marie Heintz, P.T. Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 6002 Highway 53, E. #100, Dawsonville, GA 30534 Phone: 706-265-8790 | |
Austin Reid Shelnutt, PT, DPT Physical Therapist Medicare: May Accept Medicare Assignments Practice Location: 78 Dawson Village Way N Ste 230, Dawsonville, GA 30534 Phone: 678-865-8449 Fax: 678-865-8451 |