Mr Randall W Jerry, DPT in El Dorado, AR - Physical Therapist

Mr Randall W Jerry, DPT is a Physical Therapist based in El Dorado, Arkansas. Mr Randall W Jerry is licensed to practice in Arkansas (license number PT4326) and his current practice location is 2700 Vine St, El Dorado, Arkansas. He can be reached at his office (for appointments etc.) via phone at (870) 875-5124.

NPI number for Mr Randall W Jerry is 1932624244 and his current mailing address is Po Box 10730, El Dorado, Arkansas. He does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1932624244.

Contact Information

	Mr Randall W Jerry, DPT
	2700 Vine St, El Dorado, AR 71730-6700
	(870) 875-5124
	(870) 875-5198

Healthcare Provider's Profile

Full Name	Mr Randall W Jerry
Gender	Male
Speciality	Physical Therapist
Location	2700 Vine St, El Dorado, Arkansas
Accepts Medicare Assignments	Does not participate in Medicare Program. He may not accept medicare assignment.

NPI Data:

NPI Number: 1932624244
Provider Enumeration Date: 08/08/2017
Last Update Date: 07/22/2020

Medical Identifiers

Medical identifiers for Mr Randall W Jerry such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1932624244	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
225100000X	Physical Therapist	PT4326 (Arkansas)	Primary

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. Mr Randall W Jerry 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
Mr Randall W Jerry, DPT Po Box 10730, El Dorado, AR 71730-0028 Ph: (870) 875-5124	Mr Randall W Jerry, DPT 2700 Vine St, El Dorado, AR 71730-6700 Ph: (870) 875-5124

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Physical Therapist in El Dorado, AR

Mrs. Jennifer Lynn Martin, MSPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 2700 Vine St., El Dorado, AR 71730 Phone: 870-862-1144
Ms. Kathy Jackson, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 714 W Grove St, El Dorado, AR 71730 Phone: 870-881-4677
Tanya D. Johnson, P.T. Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 704 W Grove St, Suite 5, El Dorado, AR 71730 Phone: 870-862-1144 Fax: 870-864-0782
Mrs. Molly Leanne Norris, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 214 Hope Landing Rd, El Dorado, AR 71730 Phone: 870-862-0500
Krisha Flores Merto, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 2002 Timberwood Rd, El Dorado, AR 71730 Phone: 870-863-8090
Kathryn Marie Poole, PT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 2700 Vine St, El Dorado, AR 71730 Phone: 870-875-5124 Fax: 870-875-5198
Pamela Ann Gauthreaux, MSPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 523 E 6th St, El Dorado, AR 71730 Phone: 870-201-2222 Fax: 870-201-2717

Mr Randall W Jerry, DPT - Physical Therapist in El Dorado, AR