Mira Karagodsky, is a
Physical Therapist based in Mequon, West Virginia. Mira Karagodsky is licensed to practice in Wisconsin (license number 9539024) and her current practice location is
13111 N Port Washington Rd, Mequon, West Virginia. She can be reached at her office (for appointments etc.) via phone at
(262) 243-7465.
NPI number for Mira Karagodsky is 1942244041 and her current mailing address is 805 Lamplighter Ln, Grafton, Wisconsin. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1942244041.
Healthcare Provider's Profile
Full Name | Mira Karagodsky |
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Gender | Female |
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Speciality | Physical Therapist |
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Location | 13111 N Port Washington Rd, Mequon, West Virginia |
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Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1942244041
- Provider Enumeration Date: 06/16/2006
- Last Update Date: 07/08/2007
Medical Identifiers
Medical identifiers for Mira Karagodsky such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1942244041 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
225100000X | Physical Therapist | 9539024 (Wisconsin) | Primary |
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. Mira Karagodsky is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Mira Karagodsky, 805 Lamplighter Ln, Grafton, WI 53024-9349 Ph: (262) 375-2128 | Mira Karagodsky, 13111 N Port Washington Rd, Mequon, WV 53024 Ph: (262) 243-7465 |
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