Kaitlyn Bergeron, | |
3601 W 13 Mile Rd, Royal Oak, MI 48073-6712 | |
(248) 933-4204 | |
Not Available |
Full Name | Kaitlyn Bergeron |
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Gender | Female |
Speciality | Occupational Therapist |
Location | 3601 W 13 Mile Rd, Royal Oak, Michigan |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1497376917 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
225X00000X | Occupational Therapist | 5201010389 (Michigan) | Primary |
Provider Name | Healthpro Heritage Rehab & Fitness Llc |
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Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1457868937 PECOS PAC ID: 6507832573 Enrollment ID: O20180205002852 |
Mailing Address | Practice Location Address |
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Kaitlyn Bergeron, 1443 Johns Ct, Oxford, MI 48371-5935 Ph: (248) 933-4204 | Kaitlyn Bergeron, 3601 W 13 Mile Rd, Royal Oak, MI 48073-6712 Ph: (248) 933-4204 |
Lauren Van Beek, OTR/L Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 3601 W 13 Mile Rd Dept Of, Royal Oak, MI 48073 Phone: 248-898-5000 | |
Lindsey Kathryn Trebilcock, OTR/L Occupational Therapist Medicare: Medicare Enrolled Practice Location: 3601 W 13 Mile Rd, Royal Oak, MI 48073 Phone: 248-898-0190 | |
Rachel Marissa Scott, OTR/L Occupational Therapist Medicare: Medicare Enrolled Practice Location: 4410 W 13 Mile Rd, Royal Oak, MI 48073 Phone: 586-330-0872 | |
Jenna Donnay, OTR/L Occupational Therapist Medicare: Accepting Medicare Assignments Practice Location: 3601 West 13 Mile, Royal Oak, MI 48073 Phone: 810-623-8487 | |
Kathleen Grassa, OT Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 28000 Woodward Ave, Royal Oak, MI 48067 Phone: 483-953-7772 | |
Geoffrey Shafto, OTR/L Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 321 Devillen Ave, Royal Oak, MI 48073 Phone: 989-464-5819 | |
Laurie Putnam, OTRL Occupational Therapist Medicare: Accepting Medicare Assignments Practice Location: 2512 Rochester Rd, Royal Oak, MI 48073 Phone: 248-733-4325 Fax: 248-268-7979 |