David James Dehaan, DPT | |
17615 W Moore, Grant, MI 49327-9408 | |
(231) 834-0208 | |
(616) 965-2475 |
Full Name | David James Dehaan |
---|---|
Gender | Male |
Speciality | Physical Therapy |
Experience | 11 Years |
Location | 17615 W Moore, Grant, 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 |
---|---|---|---|
1659707958 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
225100000X | Physical Therapist | 5501016488 (Michigan) | Primary |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Ivyrehab Michigan Llc | 6901165893 | 95 |
Provider Name | Ivyrehab Michigan Llc |
---|---|
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 |
---|---|
David James Dehaan, DPT 1311 Mamaroneck Ave Ste 140, White Plains, NY 10605-5224 Ph: (914) 294-4050 | David James Dehaan, DPT 17615 W Moore, Grant, MI 49327-9408 Ph: (231) 834-0208 |
Elizabeth Ashley Pinkerton, DPT Physical Therapist Medicare: Medicare Enrolled Practice Location: 17615 W Moore, Grant, MI 49327 Phone: 616-834-0208 Fax: 616-965-2475 | |
James Peter Vanhuisen, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 17615 W Moore, Grant, MI 49327 Phone: 231-834-0208 Fax: 231-834-0223 | |
Kyle R Wesche, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 17615 W Moore, Grant, MI 49327 Phone: 231-834-0208 | |
Scott A Chapman, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 17615 W Moore, Grant, MI 49327 Phone: 231-834-0208 | |
Zachary Russell Smrcina, ATC Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 17615 W Moore, Grant, MI 49327 Phone: 231-834-0208 Fax: 616-965-2475 |