Andrue Bergmooser, DPT is a
Physical Therapist based in New Boston, Michigan. Andrue Bergmooser is licensed to practice in Pennsylvania (license number PT024140) and his current practice location is
24124 Otter Rd, New Boston, Michigan. He can be reached at his office (for appointments etc.) via phone at
(734) 693-1326.
NPI number for Andrue Bergmooser is 1730567066 and his current mailing address is 24124 Otter Rd, New Boston, Michigan. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1730567066.
Healthcare Provider's Profile
Full Name | Andrue Bergmooser |
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Gender | Male |
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Speciality | Physical Therapist |
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Location | 24124 Otter Rd, New Boston, Michigan |
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Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
NPI Data:
- NPI Number: 1730567066
- Provider Enumeration Date: 05/06/2015
- Last Update Date: 05/06/2015
Medical Identifiers
Medical identifiers for Andrue Bergmooser such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1730567066 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
225100000X | Physical Therapist | PT024140 (Pennsylvania) | Primary |
225100000X | Physical Therapist | 5501016942 (Michigan) | Secondary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Andrue Bergmooser is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Andrue Bergmooser, DPT 24124 Otter Rd, New Boston, MI 48164-9678 Ph: () - | Andrue Bergmooser, DPT 24124 Otter Rd, New Boston, MI 48164-9678 Ph: (734) 693-1326 |
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