Mr Charles Matthew Bass, OT | |
4421 W Main St, Midland, MI 48640-2304 | |
(989) 832-9026 | |
Not Available |
Full Name | Mr Charles Matthew Bass |
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Gender | Male |
Speciality | Occupational Therapist |
Location | 4421 W Main St, Midland, Michigan |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1063685949 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
225X00000X | Occupational Therapist | 5201005046 (Michigan) | Primary |
Provider Name | Deer Run Rehabilitation Inc |
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Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1093299901 PECOS PAC ID: 1557770476 Enrollment ID: O20210505002926 |
Mailing Address | Practice Location Address |
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Mr Charles Matthew Bass, OT 1742 W Brooks Rd, Breckenridge, MI 48615-9646 Ph: (989) 615-6367 | Mr Charles Matthew Bass, OT 4421 W Main St, Midland, MI 48640-2304 Ph: (989) 832-9026 |
Tessa M. Wolfe, OTRL Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 32 S Homer Rd, Midland, MI 48640 Phone: 989-492-7766 | |
Landon Reed, Occupational Therapist Medicare: Medicare Enrolled Practice Location: 4401 Campus Ridge Dr Ste 1000, Midland, MI 48640 Phone: 989-871-9100 | |
Miss Alyssa Lynn House, MS-OTR/L Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 1525 Ridgewood Dr, Midland, MI 48642 Phone: 989-835-6333 | |
Stacey Wallace, OTRL Occupational Therapist Medicare: Medicare Enrolled Practice Location: 5600 Waldo Ave, Midland, MI 48642 Phone: 989-575-3255 | |
Mr. Eric David Nolish, OTR/L Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 3615 E Ashman St, Midland, MI 48642 Phone: 989-837-0895 | |
Karlee Hampton, OTRL, CTRS Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 1525 Ridgewood Dr, Midland, MI 48642 Phone: 989-835-6333 |