Kristine M Mendez, | |
6 Longmeadow Village Dr Ste 3, Niles, MI 49120-7810 | |
(269) 687-0945 | |
(269) 687-0960 |
Full Name | Kristine M Mendez |
---|---|
Gender | Female |
Speciality | Physical Therapist |
Location | 6 Longmeadow Village Dr Ste 3, Niles, Michigan |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1821685140 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
225100000X | Physical Therapist | CP026036T (Ohio) | Secondary |
225100000X | Physical Therapist | 5501019812 (Michigan) | Primary |
Provider Name | Beacon Orthopaedics & Sports Medicine Ltd |
---|---|
Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1386670065 PECOS PAC ID: 0345136412 Enrollment ID: O20040225000690 |
Mailing Address | Practice Location Address |
---|---|
Kristine M Mendez, 6 Longmeadow Village Dr Ste 3, Niles, MI 49120-7810 Ph: (269) 687-0945 | Kristine M Mendez, 6 Longmeadow Village Dr Ste 3, Niles, MI 49120-7810 Ph: (269) 687-0945 |
Ashish Nagar, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1211 Stateline Rd, Niles, MI 49120 Phone: 269-684-2810 | |
Jordan Maxey, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 905 N Front St, Niles, MI 49120 Phone: 269-683-6800 | |
Carrie Lynn Grellmann, RPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 2 N Saint Joseph Ave, Niles, MI 49120 Phone: 269-687-1419 | |
Wendy Elizabeth Ruppart, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 905 N Front St, Niles, MI 49120 Phone: 269-683-6800 | |
Anna Margartet Linstromberg, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 905 N Front St, Niles, MI 49120 Phone: 269-683-6800 | |
Ayren Makay Parrish, PT, DPT Physical Therapist Medicare: Medicare Enrolled Practice Location: 31 N Saint Joseph Ave, Niles, MI 49120 Phone: 269-683-5510 | |
Leilani Bermeo, PT, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 6 Longmeadow Village Dr Ste 3, Niles, MI 49120 Phone: 269-687-0945 Fax: 169-687-0960 |