Mr Hargopal Tekumulla, PT | |
1702 Water St, Port Huron, MI 48060-4136 | |
(810) 966-9102 | |
(810) 966-9104 |
Full Name | Mr Hargopal Tekumulla |
---|---|
Gender | Male |
Speciality | Physical Therapy |
Experience | 32 Years |
Location | 1702 Water St, Port Huron, Michigan |
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 |
---|---|---|---|
1295810851 | NPI | - | NPPES |
48102 | Other | MI | HEALTH PLAN OF MICHIGAN |
4863011 | Medicaid | MI | |
0G41113 | Other | MI | BLUE CARE NETWORK, MICHIGAN |
650G411130 | Other | MI | BCBS OF MICHIGAN |
164232 | Other | MI | GREAT LAKES HEALTH PLAN |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
225100000X | Physical Therapist | 5501008202 (Michigan) | Primary |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Riverview Physical Therapy And Rehab Llc | 4789690983 | 2 |
Provider Name | Riverview Physical Therapy And Rehab Llc |
---|---|
Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
Provider Identifiers | NPI Number: 1528248036 PECOS PAC ID: 4789690983 Enrollment ID: O20060224000618 |
Mailing Address | Practice Location Address |
---|---|
Mr Hargopal Tekumulla, PT 1702 Water St, Port Huron, MI 48060-4136 Ph: (810) 966-9102 | Mr Hargopal Tekumulla, PT 1702 Water St, Port Huron, MI 48060-4136 Ph: (810) 966-9102 |
Nancy Ann Goodell, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1411 3rd St Ste 3, Port Huron, MI 48060 Phone: 586-323-6290 | |
Karen Shelly Uhlman, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 2601 Electric Ave, Port Huron, MI 48060 Phone: 810-216-1800 Fax: 810-216-1803 | |
Mr. Glowill Pambid, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1411 3rd St, Port Huron, MI 48060 Phone: 800-451-0481 | |
Kurt Brinker, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1221 Pine Grove Ave, Port Huron, MI 48060 Phone: 810-987-5000 | |
Anna Christine Sparling-jamison, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 415 Quay St, Port Huron, MI 48060 Phone: 810-334-6517 | |
Sandra Payne, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1221 Pine Grove Ave, Port Huron, MI 48060 Phone: 810-985-8653 | |
Mrs. Laura Ann Kinsley, PT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 940 River Centre Dr, Port Huron, MI 48060 Phone: 810-985-4900 Fax: 810-985-3634 |