| Mary Jo Emmerich, | |
|
507 W Washington St, Newton, IL 62448-1247 | |
| (217) 606-3004 | |
| (217) 717-2190 |
| Full Name | Mary Jo Emmerich |
|---|---|
| Gender | Male |
| Speciality | Physical Therapist In Private Practice |
| Experience | 6 Years |
| Location | 507 W Washington St, Newton, Illinois |
| 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 |
|---|---|---|---|
| 1275148819 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225100000X | Physical Therapist | (* (Not Available)) | Secondary |
| 225100000X | Physical Therapist | 70025611 (Illinois) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Prorehab Inc | 1254317217 | 70 |
| Prorehab Inc | 1254317217 | 70 |
| Provider Name | Prorehab Inc |
|---|---|
| Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
| Provider Identifiers | NPI Number: 1770565509 PECOS PAC ID: 1254317217 Enrollment ID: O20061219000040 |
| Provider Name | Advanced Physical Therapy Llc |
|---|---|
| Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
| Provider Identifiers | NPI Number: 1316940505 PECOS PAC ID: 6002959525 Enrollment ID: O20111006000030 |
| Mailing Address | Practice Location Address |
|---|---|
| Mary Jo Emmerich, Po Box 5629, Evansville, IN 47716-5629 Ph: () - | Mary Jo Emmerich, 507 W Washington St, Newton, IL 62448-1247 Ph: (217) 606-3004 |
Alyssa Burnett, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 605 S Van Buren St, Newton, IL 62448 Phone: 618-783-7529 | |
Anna Rose Mette, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 300 E Morgan St, Newton, IL 62448 Phone: 618-852-3100 Fax: 618-852-3101 |