Benjamin Mark Mastbergen, | |
5570 Wilson Ave Sw Ste A, Wyoming, MI 49418-8867 | |
(616) 855-1495 | |
(616) 855-1496 |
Full Name | Benjamin Mark Mastbergen |
---|---|
Gender | Male |
Speciality | Physical Therapy |
Experience | 7 Years |
Location | 5570 Wilson Ave Sw Ste A, Wyoming, Michigan |
Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1487171872 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
225100000X | Physical Therapist | 5501018373 (Michigan) | Primary |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Hulst Jepsen Physical Therapy Inc | 8325033285 | 105 |
Provider Name | Hulst Jepsen Physical Therapy Inc |
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Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
Provider Identifiers | NPI Number: 1609957760 PECOS PAC ID: 8325033285 Enrollment ID: O20060206000755 |
Mailing Address | Practice Location Address |
---|---|
Benjamin Mark Mastbergen, 4761 Lake Michigan Dr Nw Ste A, Grand Rapids, MI 49534-6300 Ph: (616) 608-9978 | Benjamin Mark Mastbergen, 5570 Wilson Ave Sw Ste A, Wyoming, MI 49418-8867 Ph: (616) 855-1495 |
Mrs. Julie Ann Honeycutt, P.T. Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 2780 Gullmont Dr Sw, Wyoming, MI 49418 Phone: 616-538-9709 Fax: 616-538-9709 | |
Connie Posigian, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 5838 Metro Way Sw, Physical Therapy Dept, Wyoming, MI 49519 Phone: 616-249-5300 | |
Sarah Ayotte, Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 1621 44th St Sw, Suite 300, Wyoming, MI 49509 Phone: 616-949-3538 Fax: 616-840-9697 | |
Ms. Mindy Lee Matt, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 5900 Byron Center Ave Sw, Wyoming, MI 49519 Phone: 616-252-7199 | |
Pamela Newcomb Vaughn, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 5900 Byron Center Ave Sw, Wyoming, MI 49519 Phone: 616-252-5014 | |
Mr. Mark Alan Carey, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 5570 Wilson Ave Sw, Suite A, Wyoming, MI 49418 Phone: 616-855-1495 Fax: 616-855-1496 | |
Dorothy Ann Mccune, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 5900 Byron Center Ave Sw, Wyoming, MI 49519 Phone: 616-252-7199 |