Jordan Defever, | |
893 E Superior St, Wayland, MI 49348-9178 | |
(616) 252-3433 | |
Not Available |
Full Name | Jordan Defever |
---|---|
Gender | Male |
Speciality | Physical Therapy |
Experience | 7 Years |
Location | 893 E Superior St, Wayland, 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 |
---|---|---|---|
1538699509 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
225100000X | Physical Therapist | 5501018190 (Michigan) | Primary |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Orthopaedic Associates Of Grand Rapids Pc | 9537136403 | 84 |
Provider Name | Orthopaedic Associates Of Grand Rapids Pc |
---|---|
Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1023021300 PECOS PAC ID: 9537136403 Enrollment ID: O20040911000212 |
Mailing Address | Practice Location Address |
---|---|
Jordan Defever, 2780 Royal Vista Ct Nw Apt 201, Grand Rapids, MI 49534-2619 Ph: () - | Jordan Defever, 893 E Superior St, Wayland, MI 49348-9178 Ph: (616) 252-3433 |
Chad William Sterk, DPT Physical Therapist Medicare: Medicare Enrolled Practice Location: 709 W Superior St, Wayland, MI 49348 Phone: 269-792-4440 Fax: 616-965-2475 | |
Michael Brendan Brossman, PT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 709 W Superior St, Wayland, MI 49348 Phone: 269-792-4440 | |
Carlos Mata, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 709 W Superior St, Wayland, MI 49348 Phone: 269-792-4440 | |
Courtney Earles, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 709 W Superior St, Wayland, MI 49348 Phone: 269-792-4440 | |
Denise Jongekrijg, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 709 W Superior St, Wayland, MI 49348 Phone: 269-792-4440 Fax: 616-965-2475 | |
Matthew D Casterline, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 709 W Superior St, Wayland, MI 49348 Phone: 269-792-4440 |