| Mr Jesse Chase Reagan, PT | |
|
1124 N Park St Ste M, Carrollton, GA 30117-2282 | |
| (770) 834-0873 | |
| (770) 834-6118 |
| Full Name | Mr Jesse Chase Reagan |
|---|---|
| Gender | Male |
| Speciality | Physical Therapist In Private Practice |
| Experience | 5 Years |
| Location | 1124 N Park St Ste M, Carrollton, Georgia |
| 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 |
|---|---|---|---|
| 1366172462 | NPI | - | NPPES |
| 003270602C | Medicaid | GA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225100000X | Physical Therapist | PT015961 (Georgia) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Carrollton Orthopaedic Clinic Pc | 7810989183 | 29 |
| Provider Name | Carrollton Orthopaedic Clinic Pc |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1356483747 PECOS PAC ID: 7810989183 Enrollment ID: O20040330001027 |
| Mailing Address | Practice Location Address |
|---|---|
| Mr Jesse Chase Reagan, PT 1124 N Park St Ste M, Carrollton, GA 30117-2282 Ph: (770) 834-0873 | Mr Jesse Chase Reagan, PT 1124 N Park St Ste M, Carrollton, GA 30117-2282 Ph: (770) 834-0873 |
Sarah Worley, MPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 812 S Park St, Carrollton, GA 30117 Phone: 770-834-7436 Fax: 770-830-5954 | |
Mrs. Rebecca Smith, P.T. Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 812 S Park St, Carrollton, GA 30117 Phone: 770-834-7436 Fax: 770-830-5954 | |
Miss Shaunta Andrews, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 909 S Park St Ste E, Carrollton, GA 30117 Phone: 770-834-8702 | |
Hannah Alise Cothran, PT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 1004 Bankhead Hwy Ste 5, Carrollton, GA 30117 Phone: 770-834-5609 | |
Mr. Vaughn Williams, P.T. Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 812 S Park St, Carrollton, GA 30117 Phone: 770-830-9517 Fax: 770-830-5957 | |
George Bo Hamil Jr., PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 812 S Park St, Carrollton, GA 30117 Phone: 770-834-7436 Fax: 770-830-5954 | |
Darcia Farrell, MPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 812 South Park St, Carrollton, GA 30117 Phone: 770-834-7436 Fax: 770-830-5954 |