Miss Kristin Diane Wodzinski Andreae, MS, PT | |
1455 W Fair Ave, Marquette, MI 49855-2654 | |
(616) 460-0689 | |
Not Available |
Full Name | Miss Kristin Diane Wodzinski Andreae |
---|---|
Gender | Female |
Speciality | Physical Therapy |
Experience | 22 Years |
Location | 1455 W Fair Ave, Marquette, 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 |
---|---|---|---|
1205966165 | NPI | - | NPPES |
0E20191 | Other | MI | BCBS INDIVIDUAL |
0E20057 | Other | MI | BCBS GROUP PT |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
225100000X | Physical Therapist | 5501011205 (Michigan) | Primary |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Superior Active Partners Llc | 5890920045 | 8 |
Provider Name | Marquette Rehabilitation & Sports Medicine Center |
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Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
Provider Identifiers | NPI Number: 1376771287 PECOS PAC ID: 0941351761 Enrollment ID: O20130112000046 |
Provider Name | Superior Active Partners Llc |
---|---|
Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
Provider Identifiers | NPI Number: 1982045001 PECOS PAC ID: 5890920045 Enrollment ID: O20131024001811 |
Mailing Address | Practice Location Address |
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Miss Kristin Diane Wodzinski Andreae, MS, PT 1455 W Fair Ave, Marquette, MI 49855-2654 Ph: (616) 460-0689 | Miss Kristin Diane Wodzinski Andreae, MS, PT 1455 W Fair Ave, Marquette, MI 49855-2654 Ph: (616) 460-0689 |
Dawn Archambault-lackey, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 3135 Us Highway 41 W, Marquette, MI 49855 Phone: 906-225-5900 Fax: 906-225-5939 | |
Mr. Mark Campbell Miles, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1007 Harbor Hills Dr, Suite A, Marquette, MI 49855 Phone: 906-225-5585 Fax: 906-225-5990 | |
Michael Sanders, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 555 County Road Hq, Marquette, MI 49855 Phone: 906-225-5900 | |
Matt Wheat, Physical Therapist Medicare: Medicare Enrolled Practice Location: 1455 W Fair Ave, Marquette, MI 49855 Phone: 906-226-0574 | |
Daniel Watkins, Physical Therapist Medicare: Medicare Enrolled Practice Location: 555 County Road Hq, Marquette, MI 49855 Phone: 906-225-5044 | |
Ms. Kristen A Deprey, PT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 1455 W Fair Ave, Marquette, MI 49855 Phone: 906-226-0574 Fax: 888-347-1135 |