Bryan Lee Herder, OT | |
7971 Moorsbridge Rd, Portage, MI 49024-4075 | |
(269) 321-0929 | |
(269) 321-1767 |
Full Name | Bryan Lee Herder |
---|---|
Gender | Male |
Speciality | Occupational Therapy |
Experience | 24 Years |
Location | 7971 Moorsbridge Rd, Portage, Michigan |
Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1316169303 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
225X00000X | Occupational Therapist | 5201005556 (Michigan) | Primary |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Great Lakes Hand Therapy Pc | 0840109930 | 3 |
Provider Name | Great Lakes Hand Therapy Pc |
---|---|
Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1437378932 PECOS PAC ID: 0840109930 Enrollment ID: O20071023000222 |
Mailing Address | Practice Location Address |
---|---|
Bryan Lee Herder, OT 7971 Moorsbridge Rd, Portage, MI 49024-4075 Ph: (269) 321-0929 | Bryan Lee Herder, OT 7971 Moorsbridge Rd, Portage, MI 49024-4075 Ph: (269) 321-0929 |
Denise L Hoffman, OTR/L Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 5833 Oakland Dr, Suite 2, Portage, MI 49024 Phone: 269-330-2113 | |
Mosab Aziz, OT Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 1806 Lansing Ave, Portage, MI 49002 Phone: 269-349-2641 | |
Hand Therapy Of Michigan Occupational Therapist Medicare: Medicare Enrolled Practice Location: 8175 Creekside Dr Ste 100, Portage, MI 49024 Phone: 269-321-3011 Fax: 269-321-3014 | |
Renu Sharma, OTR Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 5817 S Westnedge Ave, Portage, MI 49002 Phone: 269-385-3000 Fax: 000-000-0000 | |
Barbara Mauragis, Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 2615 Hill An Brook Dr, Portage, MI 49024 Phone: 269-344-3066 | |
Mrs. Jennifer Lynn Sandborn, Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 7855 Currier Dr, Portage, MI 49002 Phone: 269-323-7748 Fax: 269-323-1908 | |
Pamela K. Kloosterman, OTR Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 7920 Kirkland Ct, Portage, MI 49024 Phone: 269-381-7246 Fax: 269-345-5354 |