Mrs Mary Jo Sprouse, PT is a
Physical Therapist - Geriatrics based in Calvert City, Kentucky. Mrs Mary Jo Sprouse is licensed to practice in Kentucky (license number PT - 000849) and her current practice location is
10456 Us Highway 62, Calvert City, Kentucky. She can be reached at her office (for appointments etc.) via phone at
(270) 898-6240.
NPI number for Mrs Mary Jo Sprouse is 1336301464 and her current mailing address is 114 Ivey Rd, Benton, Kentucky. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1336301464.
Healthcare Provider's Profile
| Full Name | Mrs Mary Jo Sprouse |
|---|
| Gender | Female |
|---|
| Speciality | Physical Therapist - Geriatrics |
|---|
| Location | 10456 Us Highway 62, Calvert City, Kentucky |
|---|
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1336301464
- Provider Enumeration Date: 06/30/2008
- Last Update Date: 06/30/2008
Medical Identifiers
Medical identifiers for Mrs Mary Jo Sprouse such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
| 1336301464 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
| 2251G0304X | Physical Therapist - Geriatrics | PT - 000849 (Kentucky) | Primary |
| 2251G0304X | Physical Therapist - Geriatrics | 05009431A (Indiana) | Secondary |
| 2251G0304X | Physical Therapist - Geriatrics | PT001024E (Pennsylvania) | Secondary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Mrs Mary Jo Sprouse is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
Mrs Mary Jo Sprouse, PT 114 Ivey Rd, Benton, KY 42025-5347 Ph: (270) 527-9801 | Mrs Mary Jo Sprouse, PT 10456 Us Highway 62, Calvert City, KY 42029-9020 Ph: (270) 898-6240 |
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