Judith Wagner, | |
23161 Greater Mack Ave, Saint Clair Shores, MI 48080-1956 | |
(586) 779-8892 | |
(586) 779-2869 |
Full Name | Judith Wagner |
---|---|
Gender | Female |
Speciality | Physical Therapy |
Experience | 41 Years |
Location | 23161 Greater Mack Ave, Saint Clair Shores, Michigan |
Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1659458016 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
225100000X | Physical Therapist | 5501002691 (Michigan) | Primary |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Leelanau Physical Therapy Pc | 1557527561 | 14 |
Provider Name | Leelanau Physical Therapy Pc |
---|---|
Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
Provider Identifiers | NPI Number: 1295092658 PECOS PAC ID: 1557527561 Enrollment ID: O20120719000109 |
Mailing Address | Practice Location Address |
---|---|
Judith Wagner, 23161 Greater Mack Ave, Saint Clair Shores, MI 48080-1956 Ph: (586) 779-8892 | Judith Wagner, 23161 Greater Mack Ave, Saint Clair Shores, MI 48080-1956 Ph: (586) 779-8892 |
Sachin Venkatachalam, PT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 23829 Little Mack Ave Ste 100, Saint Clair Shores, MI 48080 Phone: 586-773-1300 | |
Carey Ryan, PT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 24345 Harper Ave, Saint Clair Shores, MI 48080 Phone: 586-563-3300 Fax: 586-563-3313 | |
Kathi Piepenbrok, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 23161 Greater Mack Ave, Saint Clair Shores, MI 48080 Phone: 586-779-8892 Fax: 586-779-2869 | |
Alexis Rushton Motycka, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 25311 Little Mack Ave Ste A, Saint Clair Shores, MI 48081 Phone: 586-771-4900 Fax: 586-771-4993 | |
Donna Tavalieri, P.T. Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 19505 E 8 Mile Rd, Saint Clair Shores, MI 48080 Phone: 586-445-8200 Fax: 586-445-8201 | |
Madhavi Prakash Vachhani, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 29150 Harper Ave, Saint Clair Shores, MI 48081 Phone: 586-779-0911 Fax: 586-779-0907 | |
Mrs. Chelsea M Hoffmeyer, PT, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 24715 Little Mack Ave Ste 100, Saint Clair Shores, MI 48080 Phone: 586-779-7970 Fax: 586-779-7748 |