Michael Donnelly, | |
1111 Ansborough Ave, Waterloo, IA 50701 | |
(319) 433-0130 | |
Not Available |
Full Name | Michael Donnelly |
---|---|
Gender | Male |
Speciality | Physical Therapy |
Experience | 10 Years |
Location | 1111 Ansborough Ave, Waterloo, Iowa |
Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1447669528 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
225100000X | Physical Therapist | 3390 (Nebraska) | Secondary |
225100000X | Physical Therapist | 096251 (Iowa) | Primary |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Athletico Ltd | 4789602681 | 1963 |
Provider Name | Athletico Ltd |
---|---|
Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
Provider Identifiers | NPI Number: 1821085028 PECOS PAC ID: 4789602681 Enrollment ID: O20150820012358 |
Mailing Address | Practice Location Address |
---|---|
Michael Donnelly, 600 Oakmont Ln Ste 600c, Westmont, IL 60559-5548 Ph: (630) 575-6250 | Michael Donnelly, 1111 Ansborough Ave, Waterloo, IA 50701 Ph: (319) 433-0130 |
Marissa Stalder, Physical Therapist Medicare: Medicare Enrolled Practice Location: 3560 Kimball Ave, Waterloo, IA 50702 Phone: 319-233-6995 Fax: 319-233-7083 | |
Justine Zikuda, MSPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 3820 Pheasant Ln, Waterloo, IA 50701 Phone: 319-233-6995 | |
Kris Marcks, Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 815 Tower Park Dr, Waterloo, IA 50701 Phone: 319-233-6995 Fax: 319-233-7083 | |
Shayla Mcintyre, PT, DPT, CLT-LANA Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 2160 Logan Ave, Waterloo, IA 50703 Phone: 319-226-8560 Fax: 319-226-8565 | |
Ms. Kyle Marie Scheidel, DPT Physical Therapist Medicare: Medicare Enrolled Practice Location: 2651 Saint Francis Dr, Waterloo, IA 50702 Phone: 319-236-6942 | |
Dr. Robert Paul Sarver, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 2160 Logan Ave, Waterloo, IA 50703 Phone: 319-226-8560 Fax: 319-226-8565 | |
Marie Anne Andren, PT Physical Therapist Medicare: Medicare Enrolled Practice Location: 2001 Heath St, Waterloo, IA 50703 Phone: 319-234-4423 |