| Mrs Jacqueline Marie Overpeck, PT, DPT | |
|
2420 Wilson Ave, Madison, IN 47250-2135 | |
| (812) 265-8226 | |
| (812) 265-8227 |
| Full Name | Mrs Jacqueline Marie Overpeck |
|---|---|
| Gender | Female |
| Speciality | Physical Therapist - Pediatrics |
| Location | 2420 Wilson Ave, Madison, Indiana |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1629291877 | NPI | - | NPPES |
| 200857980 | Medicaid | IN | |
| 7100168390 | Medicaid | KY |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225100000X | Physical Therapist | 05008585A (Indiana) | Secondary |
| 2251P0200X | Physical Therapist - Pediatrics | 05008585A (Indiana) | Primary |
| Provider Name | Sn Kentuckiana Rehab, Llc |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1295208684 PECOS PAC ID: 1254671464 Enrollment ID: O20190328002025 |
| Mailing Address | Practice Location Address |
|---|---|
| Mrs Jacqueline Marie Overpeck, PT, DPT 1928 Fairway Dr, Madison, IN 47250-2703 Ph: (812) 274-4040 | Mrs Jacqueline Marie Overpeck, PT, DPT 2420 Wilson Ave, Madison, IN 47250-2135 Ph: (812) 265-8226 |
All Kids Can Therapy Services Llc Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 2420 Wilson Ave, Madison, IN 47250 Phone: 812-265-8226 Fax: 812-265-8227 | |
Hermetes Capulong, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 950 Cross Ave, Madison, IN 47250 Phone: 812-273-4640 | |
Mr. Renato M Alburo, P.T. Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 3230 N Audubon Park Rd, Madison, IN 47250 Phone: 347-405-3592 | |
Gina Elayne Mcvay, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 301 Green Rd, Madison, IN 47250 Phone: 812-265-8238 | |
Maulika Patel, Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 120 Presbyterian Ave, Madison, IN 47250 Phone: -- | |
Julie Buchanan, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 2521 Castor Ln, Madison, IN 47250 Phone: 812-265-6704 Fax: 812-265-6704 | |
Andrea Lynn Bowman, PT/DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 219 Clifty Dr, Madison, IN 47250 Phone: 812-265-8228 |