Mr Michael G Van Pevenage, RPT in Davenport, WA

Mr Michael G Van Pevenage, RPT is a Physical Therapist based in Davenport, Washington. Mr Michael G Van Pevenage is licensed to practice in Washington (license number PT00006484) and his current practice location is 506 Morgan Street, Davenport, Washington. He can be reached at his office (for appointments etc.) via phone at (509) 725-7325.

NPI number for Mr Michael G Van Pevenage is 1184789703 and his current mailing address is Po Box 752, Davenport, Washington. He does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1184789703.

Contact Information

	Mr Michael G Van Pevenage, RPT
	506 Morgan Street, Davenport, WA 99122
	(509) 725-7325
	(509) 725-5325

Map and Direction

Healthcare Provider's Profile

Full Name	Mr Michael G Van Pevenage
Gender	Male
Speciality	Physical Therapist
Location	506 Morgan Street, Davenport, Washington
Accepts Medicare Assignments	Does not participate in Medicare Program. He may not accept medicare assignment.

NPI Data:

NPI Number: 1184789703
Provider Enumeration Date: 12/26/2006
Last Update Date: 10/19/2012

Medical Identifiers

Medical identifiers for Mr Michael G Van Pevenage such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1184789703	NPI	-	NPPES
7125768	Medicaid	WA
DF0622	Other	WA	PALMETTO
0205378	Other	WA	LABOR AND INDUSTRIES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
225100000X	Physical Therapist	PT00006484 (Washington)	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. Mr Michael G Van Pevenage 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
Mr Michael G Van Pevenage, RPT Po Box 752, Davenport, WA 99122-0752 Ph: (509) 725-7325	Mr Michael G Van Pevenage, RPT 506 Morgan Street, Davenport, WA 99122 Ph: (509) 725-7325

Reviews and Comments

Physical Therapist in Davenport, WA

Peak Fitness Physical Therapy, Ps Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 506 Morgan Street, Davenport, WA 99122 Phone: 509-725-7325 Fax: 509-725-5325
Mrs. Mary Jo Jeffrey, PHYSICAL THERAPIST Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 10 Nicholls St, Davenport, WA 99122 Phone: 509-725-7101 Fax: 509-725-2112

Mr Michael G Van Pevenage, RPT - Physical Therapist in Davenport, WA