Dr Michelle Lea Bradley, DO | |
25311 Little Mack Ave, Suite B, Saint Clair Shores, MI 48081-3301 | |
(586) 498-2400 | |
(586) 498-2800 |
Full Name | Dr Michelle Lea Bradley |
---|---|
Gender | Female |
Speciality | Physical Medicine And Rehabilitation |
Experience | 30 Years |
Location | 25311 Little Mack Ave, Saint Clair Shores, Michigan |
Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1366477572 | NPI | - | NPPES |
1366477572 | Medicaid | MI |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208100000X | Physical Medicine & Rehabilitation | 5101012404 (Michigan) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Mclaren Home Health | Sterling heights, MI | Home health agency |
Mclaren Macomb | Mount clemens, MI | Hospital |
Ascension St John Hospital | Detroit, MI | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Great Lakes Physiatrists Pc | 1153217278 | 13 |
Entity Name | Great Lakes Physiatrists Pc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1811096548 PECOS PAC ID: 1153217278 Enrollment ID: O20040319000385 |
Mailing Address | Practice Location Address |
---|---|
Dr Michelle Lea Bradley, DO 8301 Reliable Pkwy, Chicago, IL 60686-0083 Ph: (586) 498-2400 | Dr Michelle Lea Bradley, DO 25311 Little Mack Ave, Suite B, Saint Clair Shores, MI 48081-3301 Ph: (586) 498-2400 |
Dr. Mary Kathleen Kneiser, M.D. Physical Medicine & Rehabilitation Medicare: Not Enrolled in Medicare Practice Location: 22030 Mack Ave, Saint Clair Shores, MI 48080 Phone: 586-443-5686 Fax: 586-443-5689 | |
Dr. Dominic Femminineo, D.O. Physical Medicine & Rehabilitation Medicare: Accepting Medicare Assignments Practice Location: 25311 Little Mack Ave Ste B, Saint Clair Shores, MI 48081 Phone: 586-498-2400 Fax: 586-498-2800 | |
Abbey Pavlosky, PTA Physical Medicine & Rehabilitation Medicare: Not Enrolled in Medicare Practice Location: 20952 E 12 Mile Rd Ste 110, Saint Clair Shores, MI 48081 Phone: 586-498-3500 Fax: 586-498-3510 |