Madison Pung, | |
1940 Tall Oaks Dr W, Ludington, MI 49431-9584 | |
(231) 233-1672 | |
Not Available |
Full Name | Madison Pung |
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Gender | Female |
Speciality | Occupational Therapist |
Location | 1940 Tall Oaks Dr W, Ludington, Michigan |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1700654548 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
225X00000X | Occupational Therapist | (* (Not Available)) | Primary |
Provider Name | Ivyrehab Michigan Llc |
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Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
Provider Identifiers | NPI Number: 1104337120 PECOS PAC ID: 6901165893 Enrollment ID: O20180123001245 |
Mailing Address | Practice Location Address |
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Madison Pung, 1940 Tall Oaks Dr W, Ludington, MI 49431-9584 Ph: () - | Madison Pung, 1940 Tall Oaks Dr W, Ludington, MI 49431-9584 Ph: (231) 233-1672 |
Therese Zitta, Occupational Therapist Medicare: Medicare Enrolled Practice Location: 1 Atkinson Dr, Ludington, MI 49431 Phone: 231-923-3364 | |
Kimberly Janicki, Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 3925 Hopkins Lake Dr, Ludington, MI 49431 Phone: 231-690-4220 Fax: 231-316-6040 | |
Wendy V Early, OTR/L Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 1000 E Tinkham Ave, Ludington, MI 49431 Phone: 231-845-6291 | |
Sarah Simon, Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 1000 E Tinkham Ave, Ludington, MI 49431 Phone: 231-845-6291 Fax: 231-843-4121 | |
Mrs. Laura Lee Strong, MS, OTR/L Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 1000 E Tinkham Ave, Ludington, MI 49431 Phone: 231-845-6291 Fax: 231-843-4121 | |
Briana Somero, OTRL Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 1 Atkinson Dr, Ludington, MI 49431 Phone: 231-845-2458 | |
Jessica Fiting, OTR Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 1000 E Tinkham Ave, Ludington, MI 49431 Phone: 231-845-6291 |