| Ryan Jeremic, | |
|
800 S Lower Sacramento Rd, Lodi, CA 95242-3635 | |
| (209) 712-9737 | |
| Not Available |
| Full Name | Ryan Jeremic |
|---|---|
| Gender | Male |
| Speciality | Physical Therapist - Orthopedic |
| Location | 800 S Lower Sacramento Rd, Lodi, California |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1205525912 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2251X0800X | Physical Therapist - Orthopedic | 303174 (California) | Primary |
| Provider Name | Permanente Medical Group Inc |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1073606299 PECOS PAC ID: 8921910225 Enrollment ID: O20031104000710 |
| Mailing Address | Practice Location Address |
|---|---|
| Ryan Jeremic, 412 Park St, Lodi, CA 95240-5210 Ph: () - | Ryan Jeremic, 800 S Lower Sacramento Rd, Lodi, CA 95242-3635 Ph: (209) 712-9737 |
Sharen N Cheathon, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 2401 W Turner Rd, Suite 250, Lodi, CA 95242 Phone: 209-334-2224 Fax: 209-334-2225 | |
Eliza R Downs, P.T. Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 2401 W Turner Rd, Suite 250, Lodi, CA 95242 Phone: 209-334-2224 Fax: 209-334-2225 | |
Rafael Carlos, DPT Physical Therapist Medicare: Medicare Enrolled Practice Location: 2000 W Kettleman Ln Ste 106, Lodi, CA 95242 Phone: 209-207-0849 | |
Dr. Bowen James Terra, DPT, PT Physical Therapist Medicare: Medicare Enrolled Practice Location: 631 S Ham Ln # B, Lodi, CA 95242 Phone: 209-368-7433 | |
Piper Lee Barnes, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 631 S Ham Ln, Lodi, CA 95242 Phone: 209-368-7433 Fax: 209-368-4219 | |
Nino Otacan Conde, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 631 S Ham Ln, Lodi, CA 95242 Phone: 209-368-7433 | |
Michael Ray Ballance, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 825 W Lockeford St, Lodi, CA 95240 Phone: 209-331-7471 Fax: 209-331-7464 |