| Michelle Teshome, OTR/L | |
|
1000 Edison Ave Nw, Grand Rapids, MI 49504-3918 | |
| (630) 303-2846 | |
| Not Available |
| Full Name | Michelle Teshome |
|---|---|
| Gender | Female |
| Speciality | Occupational Therapist |
| Location | 1000 Edison Ave Nw, Grand Rapids, Michigan |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1306362512 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225X00000X | Occupational Therapist | 056012072 (Illinois) | Secondary |
| 225X00000X | Occupational Therapist | 5201010791 (Michigan) | Primary |
| Provider Name | Spectrum Health Primary Care Partners |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1235188673 PECOS PAC ID: 4587568647 Enrollment ID: O20031121000091 |
| Mailing Address | Practice Location Address |
|---|---|
| Michelle Teshome, OTR/L 3510 Trail West Dr Ne, Grand Rapids, MI 49525-9426 Ph: (630) 303-2846 | Michelle Teshome, OTR/L 1000 Edison Ave Nw, Grand Rapids, MI 49504-3918 Ph: (630) 303-2846 |
Deborah E. Ruediger, O.T. Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 3000 Monroe Ave Ne, Grand Rapids, MI 49505 Phone: 877-864-8171 | |
Jessica Michelle Flood, MS, OTR/L, CBIS Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 2750 E Beltline Ave Ne # Mc279, Grand Rapids, MI 49525 Phone: 616-430-4306 | |
Melissa Elizabeth Crow, MA, OTRL Occupational Therapist Medicare: Medicare Enrolled Practice Location: 35 Michigan St Ne Ste 4218, Grand Rapids, MI 49503 Phone: 616-267-2437 | |
Jennifer Sawyer, MS, OTR/L Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 710 Kenmoor Ave Se Ste 110, Grand Rapids, MI 49546 Phone: 616-591-2905 | |
Leah Gibson, MS, OTRL Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 3600 Fulton St E, Grand Rapids, MI 49546 Phone: 616-949-4971 | |
Lindsay Chapman, Occupational Therapist Medicare: Medicare Enrolled Practice Location: 2251 E Paris Ave Se, Grand Rapids, MI 49546 Phone: 616-447-7799 | |
Laura L Bucks, OT Occupational Therapist Medicare: Accepting Medicare Assignments Practice Location: 1111 Leffingwell Ave Ne, Suite 200, Grand Rapids, MI 49525 Phone: 616-459-7101 Fax: 616-954-6483 |