| Jessica Lorraine Van Soest, | |
|
2450 Washington Ave, San Leandro, CA 94577-5996 | |
| (510) 577-0777 | |
| Not Available |
| Full Name | Jessica Lorraine Van Soest |
|---|---|
| Gender | Female |
| Speciality | Physical Therapist In Private Practice |
| Experience | 11 Years |
| Location | 2450 Washington Ave, San Leandro, 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 |
|---|---|---|---|
| 1760992531 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225100000X | Physical Therapist | 293825 (California) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Renew Physical Therapy Pc | 6406022078 | 17 |
| Provider Name | Renew Physical Therapy Pc |
|---|---|
| Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
| Provider Identifiers | NPI Number: 1255508453 PECOS PAC ID: 6406022078 Enrollment ID: O20120103000350 |
| Mailing Address | Practice Location Address |
|---|---|
| Jessica Lorraine Van Soest, 460 Boulevard Way, Ste 2d, Piedmont, CA 94610-1563 Ph: (510) 922-8872 | Jessica Lorraine Van Soest, 2450 Washington Ave, San Leandro, CA 94577-5996 Ph: (510) 577-0777 |
Ms. Ingvild Benedicte Gasmann, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1440 168th Ave, San Leandro, CA 94578 Phone: 510-481-3197 Fax: 510-481-6327 | |
Ernesto Jasso, PT Physical Therapist Medicare: Medicare Enrolled Practice Location: 2500 Merced St, San Leandro, CA 94577 Phone: 510-454-1000 | |
Adrian Samuel Girardeau, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 14537 Santiago Rd, San Leandro, CA 94577 Phone: 510-734-9708 | |
Byron Maigue Romero, P.T. Physical Therapist Medicare: Medicare Enrolled Practice Location: 2500 Merced Street, San Leandro, CA 94577 Phone: 510-454-1000 | |
Pattie Whitehurst, DPT,PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 13939 E 14th St Ste 150, San Leandro, CA 94578 Phone: 510-343-8300 | |
Ms. Leeanne Craft, P.T. Physical Therapist Medicare: Medicare Enrolled Practice Location: 2500 Merced St, San Leandro, CA 94577 Phone: 510-454-1000 Fax: 510-675-3241 | |
Kathleen Edmunds1, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1850 Fairway Dr, San Leandro, CA 94577 Phone: 510-435-4708 |