Miranda Novak, | |
451 Health Pkwy, Paw Paw, MI 49079-8242 | |
(269) 657-1318 | |
Not Available |
Full Name | Miranda Novak |
---|---|
Gender | Female |
Speciality | Physical Therapy |
Experience | 6 Years |
Location | 451 Health Pkwy, Paw Paw, 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 |
---|---|---|---|
1447802459 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
225100000X | Physical Therapist | 5501018696 (Michigan) | Primary |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Avora Llc | 9931385341 | 13 |
Provider Name | Avora Llc |
---|---|
Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1942507462 PECOS PAC ID: 9931385341 Enrollment ID: O20110519000708 |
Mailing Address | Practice Location Address |
---|---|
Miranda Novak, 2935 Waterchase Way Sw Apt 205, Wyoming, MI 49519-5922 Ph: (262) 442-7721 | Miranda Novak, 451 Health Pkwy, Paw Paw, MI 49079-8242 Ph: (269) 657-1318 |
Erin Aerts, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 451 Health Pkwy, Paw Paw, MI 49079 Phone: 269-657-8300 | |
Piotr Jan Mietusiewicz, PHYSICAL THERAPIST Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 451 Health Pkwy, Paw Paw, MI 49079 Phone: 269-657-8300 Fax: 269-655-0766 | |
Kinju Dudhia, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 451 Health Pkwy, Paw Paw, MI 49079 Phone: 269-657-1490 | |
Nicole Burgess, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 451 Health Pkwy, Paw Paw, MI 49079 Phone: 269-657-1490 Fax: 269-657-1444 | |
Kristy Leigh Wilkinson, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 451 Health Pkwy, Paw Paw, MI 49079 Phone: 269-657-1490 | |
Marlesa Maria Johnson, DPT Physical Therapist Medicare: Medicare Enrolled Practice Location: 451 Health Pkwy, Paw Paw, MI 49079 Phone: 269-657-1490 | |
Mr. Daniel E Laird, PT, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 451 Health Pkwy, Paw Paw, MI 49079 Phone: 269-657-1490 Fax: 269-657-1444 |