Mr Matthew Brostrom, MPT, CERT MDT in South Lyon, MI - Medicare Physical Therapist Provider

Mr Matthew Brostrom, MPT, CERT MDT is a medicare enrolled "Physical Therapist" provider in South Lyon, Michigan. His current practice location is 22180 Pontiac Trl, Ste. E, South Lyon, Michigan. You can reach out to his office (for appointments etc.) via phone at (248) 446-0155.

Mr Matthew Brostrom is licensed to practice in Michigan (license number 5501010651) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1356400808.

Contact Information

	Mr Matthew Brostrom, MPT, CERT MDT
	22180 Pontiac Trl, Ste. E, South Lyon, MI 48178-9097
	(248) 446-0155
	(248) 446-0177

Map and Direction

Healthcare Provider's Profile

Full Name	Mr Matthew Brostrom
Gender	Male
Speciality	Physical Therapist
Location	22180 Pontiac Trl, South Lyon, Michigan
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1356400808
Provider Enumeration Date: 12/08/2006
Last Update Date: 03/08/2011

Medicare PECOS Information:

PECOS PAC ID: 0547288383
Enrollment ID: I20051110000058

Medical Identifiers

Medical identifiers for Mr Matthew Brostrom such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1356400808	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
225100000X	Physical Therapist	5501010651 (Michigan)	Primary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Mr Matthew Brostrom allows following entities to bill medicare on his behalf.

Provider Name	Spine And Extremity Institute Of South Lyon, L.l.c.
Provider Type	Part B Supplier - Clinic/group Practice
Provider Identifiers	NPI Number: 1811209968 PECOS PAC ID: 3476742651 Enrollment ID: O20110105000023

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. Mr Matthew Brostrom is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
Mr Matthew Brostrom, MPT, CERT MDT 22180 Pontiac Trl, Ste. E, South Lyon, MI 48178-9097 Ph: (248) 446-0155	Mr Matthew Brostrom, MPT, CERT MDT 22180 Pontiac Trl, Ste. E, South Lyon, MI 48178-9097 Ph: (248) 446-0155

Reviews and Comments

Physical Therapist in South Lyon, MI

Jenna Cato, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 62500 Nine Mile Rd # B, South Lyon, MI 48178 Phone: 248-573-8220
Ms. Amy Ramage, PT Physical Therapist Medicare: Medicare Enrolled Practice Location: 22180 Pontiac Trl Ste E, South Lyon, MI 48178 Phone: 248-446-0155 Fax: 248-446-0177
Ms. Christa Milena Carlomusto, MPT Physical Therapist Medicare: Medicare Enrolled Practice Location: 25450 Villagewood Ct, South Lyon, MI 48178 Phone: 248-308-0400
Ellen Thomi Lecureux, PHYSICAL THERAPIST Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 22180 Pontiac Trl, Suite E, South Lyon, MI 48178 Phone: 248-446-0155 Fax: 248-446-0177
Dana Lynn Karfonta, PT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 301 S Lafayette St, South Lyon, MI 48178 Phone: 248-486-1110 Fax: 248-486-3318
Stephanie Paige Liederbach, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 22180 Pontiac Trl Ste E, South Lyon, MI 48178 Phone: 248-446-0155 Fax: 248-446-0177
Michele Marie Bird, P.T. Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 22062 Brookfield Ct, South Lyon, MI 48178 Phone: 248-437-6910

Mr Matthew Brostrom, MPT, CERT MDT - Medicare Physical Therapist in South Lyon, MI