Mr Michael P Irving, PT | |
610 E City Route 40, Greenville, IL 62246-2535 | |
(618) 664-9720 | |
(618) 664-9721 |
Full Name | Mr Michael P Irving |
---|---|
Gender | Male |
Speciality | Physical Therapy |
Experience | 25 Years |
Location | 610 E City Route 40, Greenville, Illinois |
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 |
---|---|---|---|
1891121174 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
225100000X | Physical Therapist | 070.011590 (Illinois) | Primary |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Phoenix Physical Therapy | 5991861049 | 7 |
Provider Name | Phoenix Physical Therapy |
---|---|
Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1659525368 PECOS PAC ID: 5991861049 Enrollment ID: O20090225000708 |
Mailing Address | Practice Location Address |
---|---|
Mr Michael P Irving, PT 4111 N Illinois St, Suite 2, Swansea, IL 62226-7609 Ph: (618) 235-0700 | Mr Michael P Irving, PT 610 E City Route 40, Greenville, IL 62246-2535 Ph: (618) 664-9720 |
Mrs. Tammy Sue Tulacro, LPT/LAT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1105 E Harris Ave, Greenville, IL 62246 Phone: 618-664-4600 | |
Anna White, Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 200 Health Care Dr, Greenville, IL 62246 Phone: 618-651-0444 | |
Jordan Vandyke, Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 200 Health Care Dr, Greenville, IL 62246 Phone: 618-664-2626 | |
Lacey Wiegmann, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 200 Health Care Dr, Greenville, IL 62246 Phone: 618-664-2626 | |
Susan Elizabeth Vandenbergh, P.T. Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 605 S Dewey St, Greenville, IL 62246 Phone: 618-627-7748 | |
Ms. Krystal Marie Mcclenahan, MPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 200 Health Care Dr, Greenville, IL 62246 Phone: 618-664-1230 |