Lichelle Anne Genshow, DPT is a medicare enrolled "Physical Therapist" provider in New Baltimore, Michigan. She graduated from medical school in 2012 and has 12 years of diverse experience with area of expertise as Physical Therapy. She is a member of the group practice Cks Of Mt Clemens Llc and her current practice location is
52401 Ashley St, New Baltimore, Michigan. You can reach out to her office (for appointments etc.) via phone at
(586) 436-3900.
Lichelle Anne Genshow is licensed to practice in Michigan (license number 5501016015) and she also participates in the medicare program. She
accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1184973570.
Healthcare Provider's Profile
| Full Name | Lichelle Anne Genshow |
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| Gender | Female |
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| Speciality | Physical Therapy |
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| Experience | 12 Years |
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| Location | 52401 Ashley St, New Baltimore, Michigan |
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| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Lichelle Anne Genshow graduated from medical school in 2012
NPI Data:
- NPI Number: 1184973570
- Provider Enumeration Date: 08/31/2012
- Last Update Date: 11/08/2016
Medicare PECOS Information:
- PECOS PAC ID: 4688826027
- Enrollment ID: I20121210000398
Medical Identifiers
Medical identifiers for Lichelle Anne Genshow such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1184973570 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 225100000X | Physical Therapist | 5501016015 (Michigan) | Primary |
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
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| Cks Of Mt Clemens Llc | 0446321038 | 19 |
Medicare Reassignments
Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Lichelle Anne Genshow allows following entities to bill medicare on her behalf.
| Provider Name | Cks Of Mt Clemens Llc |
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| Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
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| Provider Identifiers | NPI Number: 1619172673
PECOS PAC ID: 0446321038
Enrollment ID: O20080626000011 |
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Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Lichelle Anne Genshow is
enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
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Lichelle Anne Genshow, DPT
1773 Star Batt Dr,
Rochester Hills, MI 48309-3708
Ph: (248) 601-9207 | Lichelle Anne Genshow, DPT
52401 Ashley St,
New Baltimore, MI 48047-3233
Ph: (586) 436-3900 |
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