Madison Polen, PT | |
2807 Lake Michigan Dr Nw Ste 1, Grand Rapids, MI 49504-5831 | |
(616) 828-1326 | |
(616) 228-9578 |
Full Name | Madison Polen |
---|---|
Gender | Female |
Speciality | Physical Therapy |
Experience | 3 Years |
Location | 2807 Lake Michigan Dr Nw Ste 1, Grand Rapids, 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 |
---|---|---|---|
1912676677 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
225100000X | Physical Therapist | 5501020243 (Michigan) | Primary |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Foot And Ankle Specialists Of West Michigan P L L C | 2769475441 | 12 |
Athletico Ltd | 4789602681 | 1963 |
Provider Name | Foot & Ankle Specialists Of West Michigan P L L C |
---|---|
Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1154460962 PECOS PAC ID: 2769475441 Enrollment ID: O20040407000902 |
Provider Name | Athletico Ltd |
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Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
Provider Identifiers | NPI Number: 1821085028 PECOS PAC ID: 4789602681 Enrollment ID: O20191218001701 |
Mailing Address | Practice Location Address |
---|---|
Madison Polen, PT 2122 York Rd Ste 300, Oak Brook, IL 60523-1925 Ph: (630) 575-6200 | Madison Polen, PT 2807 Lake Michigan Dr Nw Ste 1, Grand Rapids, MI 49504-5831 Ph: (616) 828-1326 |
Ms. Silpa Parupalli, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 6252 Architrave St Se, Grand Rapids, MI 49546 Phone: 616-446-1374 Fax: 616-956-0059 | |
Ryan Sanders Gary, PT, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 1331 Lake Dr Se, Suite 105, Grand Rapids, MI 49506 Phone: 616-248-9842 Fax: 616-248-9848 | |
Samantha Michelle Flietstra, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 2161 Leonard St Nw, Grand Rapids, MI 49504 Phone: 616-453-7715 | |
Jennifer Lynne Taylor, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 235 Wealthy St Se, Grand Rapids, MI 49503 Phone: 616-262-0299 | |
Katharine Lind Thompson, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 200 Jefferson Ave Se, Grand Rapids, MI 49503 Phone: 616-685-6264 | |
Dr. Lindsey Danielle Conrado, PT, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 100 Michigan St Ne, Grand Rapids, MI 49503 Phone: 161-639-1177 | |
Lauren Mallory, PT, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 235 Wealthy St Se, Grand Rapids, MI 49503 Phone: 616-840-8000 |