| Jerry Ed Fenter, MPT | |
|
2860 I 55 Service Rd, Ste C, Marion, AR 72364 | |
| (870) 739-8686 | |
| (870) 739-8656 |
| Full Name | Jerry Ed Fenter |
|---|---|
| Gender | Male |
| Speciality | Physical Therapist In Private Practice |
| Experience | 21 Years |
| Location | 2860 I 55 Service Rd, Marion, 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 |
|---|---|---|---|
| 1003989765 | NPI | - | NPPES |
| 159618721 | Medicaid | AR |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225100000X | Physical Therapist | 920842873 (Arkansas) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Fenter Physical Therapy Llc | 2769583806 | 8 |
| Fenter Physical Therapy Llc | 2769583806 | 8 |
| Provider Name | Fenter Physical Therapy Llc |
|---|---|
| Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
| Provider Identifiers | NPI Number: 1992907067 PECOS PAC ID: 2769583806 Enrollment ID: O20070719000558 |
| Mailing Address | Practice Location Address |
|---|---|
| Jerry Ed Fenter, MPT 2860 I 55 Service Rd, Ste C, Marion, AR 72364 Ph: (870) 739-8686 | Jerry Ed Fenter, MPT 2860 I 55 Service Rd, Ste C, Marion, AR 72364 Ph: (870) 739-8686 |
Ashley Fox, Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 2860 I-55 Service Rd, Ste C, Marion, AR 72364 Phone: 870-394-7000 Fax: 870-394-7001 | |
Goode Communications, Etc. Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 210 Manor St, Marion, AR 72364 Phone: 870-739-1600 Fax: 870-739-1605 | |
Eudora R. Owoso, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: None Currently, Marion, AR 72364 Phone: 770-289-2881 | |
Mary Tolleson, MSPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 2001 N Mcneely Rd, Marion, AR 72364 Phone: 870-733-2323 | |
Leann Ruddick, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 282 Rivertrace Dr, Marion, AR 72364 Phone: 901-729-5274 | |
Spencer Politte, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 924 State Highway 77, Marion, AR 72364 Phone: 870-739-1600 |