Marilyn Ross, | |
53940 Carmichael Dr, South Bend, IN 46635-1564 | |
(574) 335-6212 | |
Not Available |
Full Name | Marilyn Ross |
---|---|
Gender | Female |
Speciality | Physical Therapist |
Location | 53940 Carmichael Dr, South Bend, Indiana |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1649886490 | NPI | - | NPPES |
300043421 | Medicaid | IN |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
225100000X | Physical Therapist | 05002653A (Indiana) | Primary |
Provider Name | Saint Joseph Regional Medical Center-south Bend Campus Inc |
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Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1841245594 PECOS PAC ID: 3476451790 Enrollment ID: O20031223000724 |
Mailing Address | Practice Location Address |
---|---|
Marilyn Ross, 707 Cedar St Ste 406, South Bend, IN 46617-2059 Ph: (574) 335-8707 | Marilyn Ross, 53940 Carmichael Dr, South Bend, IN 46635-1564 Ph: (574) 335-6212 |
Nicholas Bugbee, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 1005 N Hickory Rd, South Bend, IN 46615 Phone: 574-233-5754 | |
Corie R Butcher, PT, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 411 E Ireland Rd Ste 400, South Bend, IN 46614 Phone: 574-231-8950 Fax: 574-231-8955 | |
Kathryn Blum, D.P.T. Physical Therapist Medicare: May Accept Medicare Assignments Practice Location: 1005 N Hickory Rd, South Bend, IN 46615 Phone: 574-233-5754 | |
Jessica A. Preissing, PT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 53880 Carmichael Dr, South Bend, IN 46635 Phone: 574-247-9441 Fax: 574-247-9442 | |
Kathryn L. Werda, MSPT, DPT, OCS Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 6301 University Commons, Suite 430, South Bend, IN 46635 Phone: 574-968-8251 Fax: 574-968-2855 | |
John Mihay, PT,DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 53880 Carmichael Dr, South Bend, IN 46635 Phone: 574-247-9441 | |
Mr. Walter Joy Manit, RPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 52654 Ironwood Rd, South Bend, IN 46635 Phone: 574-277-8710 |