Jessica Stacey Gergel, DPT | |
1099 D St Ste 105, San Rafael, CA 94901-2839 | |
(415) 532-8335 | |
Not Available |
Full Name | Jessica Stacey Gergel |
---|---|
Gender | Female |
Speciality | Physical Therapist |
Location | 1099 D St Ste 105, San Rafael, California |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1720856834 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
225100000X | Physical Therapist | PT41089 (Florida) | Secondary |
225100000X | Physical Therapist | 308323 (California) | Primary |
Provider Name | Rehabxperience Llc |
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Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1922100767 PECOS PAC ID: 7315977030 Enrollment ID: O20050812000642 |
Mailing Address | Practice Location Address |
---|---|
Jessica Stacey Gergel, DPT 1504 Sw 110th Way, Davie, FL 33324-7194 Ph: (954) 593-4436 | Jessica Stacey Gergel, DPT 1099 D St Ste 105, San Rafael, CA 94901-2839 Ph: (415) 532-8335 |
Dr. Justin Newcomer, PT, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 2020 4th St, San Rafael, CA 94901 Phone: 415-726-7696 | |
Regents Of The University Of California Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 4000 Civic Center Dr Ste 206, San Rafael, CA 94903 Phone: 415-353-7598 | |
Leela Satyendra, PT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 4050 Redwood Hwy Ste G, San Rafael, CA 94903 Phone: 415-479-7100 | |
Dr. Rachel Wolfe, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 200 N San Pedro Rd, 3rd Floor, San Rafael, CA 94903 Phone: 415-491-4751 Fax: 415-491-4754 | |
Cale Engelhardt, MSPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 99 Montecillo Rd, San Rafael, CA 94903 Phone: 415-444-2543 | |
Ms. Mary Margaret Schmidt, P.T. Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 99 Montecillo Rd, San Rafael, CA 94903 Phone: 415-444-2883 | |
Nancy Aduna, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 850 Del Ganado Rd, San Rafael, CA 94903 Phone: 415-479-1209 Fax: 415-446-4476 |