Eldon V Graham Iii, PT, DPT | |
3751 S State Rd, Ionia, MI 48846-9478 | |
(616) 522-0066 | |
(616) 527-1667 |
Full Name | Eldon V Graham Iii |
---|---|
Gender | Male |
Speciality | Physical Therapist |
Location | 3751 S State Rd, Ionia, Michigan |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1750041745 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
225100000X | Physical Therapist | 048143 (New York) | Secondary |
225100000X | Physical Therapist | 5501021566 (Michigan) | Primary |
Provider Name | Ivyrehab Michigan Llc |
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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 |
---|---|
Eldon V Graham Iii, PT, DPT 1311 Mamaroneck Ave Ste 140, White Plains, NY 10605-5224 Ph: (914) 294-4050 | Eldon V Graham Iii, PT, DPT 3751 S State Rd, Ionia, MI 48846-9478 Ph: (616) 522-0066 |
Shelby Leigh Schneider, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 3751 S State Rd, Ionia, MI 48846 Phone: 616-522-0066 | |
Mrs. Kristin C Schrauben, PT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 3751 S State Rd, Ionia, MI 48846 Phone: 616-522-0066 Fax: 616-527-1667 | |
Mrs. Gail Sue Braun, PT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 3751 South State Rd, Ionia, MI 48846 Phone: 616-522-0066 Fax: 616-527-1667 | |
Amanda Jandernoa, PT, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 537 W Main St, Ionia, MI 48846 Phone: 616-527-0558 | |
Morgan Rae Feldpausch, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 3751 S State Rd, Ionia, MI 48846 Phone: 616-522-0066 Fax: 616-527-1667 | |
Jillian Owens, PT, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 537 W Main St Ste 102, Ionia, MI 48846 Phone: 616-527-0558 | |
Dr. Kacey Scheurer, PT, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 814 E Lincoln Ave, Ionia, MI 48846 Phone: 616-527-0080 |