Mr Michael S Bennington, PHYSICAL THERAPIST | |
924 W Custer Ave, Pontiac, IL 61764-1067 | |
(815) 844-4690 | |
(815) 844-4810 |
Full Name | Mr Michael S Bennington |
---|---|
Gender | Male |
Speciality | Physical Therapy |
Experience | 25 Years |
Location | 924 W Custer Ave, Pontiac, 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 |
---|---|---|---|
1093752727 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
225100000X | Physical Therapist | (Illinois) | Primary |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Ivyrehab Physical Therapy Pllc | 7012997638 | 298 |
Provider Name | Ivyrehab Physical Therapy Pllc |
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Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
Provider Identifiers | NPI Number: 1376917187 PECOS PAC ID: 7012997638 Enrollment ID: O20160304000277 |
Mailing Address | Practice Location Address |
---|---|
Mr Michael S Bennington, PHYSICAL THERAPIST 924 W Custer Ave, Pontiac, IL 61764-1067 Ph: (815) 844-4690 | Mr Michael S Bennington, PHYSICAL THERAPIST 924 W Custer Ave, Pontiac, IL 61764-1067 Ph: (815) 844-4690 |
Erin Baker, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 2500 W Reynolds St, Pontiac, IL 61764 Phone: 815-842-2828 Fax: 815-842-6893 | |
Mrs. Tanya M Knauff, PT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 924 W Custer Ave, Pontiac, IL 61764 Phone: 877-348-8500 Fax: 815-844-5411 | |
Mr. Thomas L Ladeairous, PHYSICAL THERAPIST Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 924 W Custer Ave, Pontiac, IL 61764 Phone: 815-844-4690 Fax: 815-844-4810 | |
Mrs. Linda G Carley, PT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 1405 Reynolds St, Pontiac, IL 61764 Phone: 815-844-2464 Fax: 815-842-1024 | |
Mr. Jeffery C Schade, PHYSICAL THERAPIST Physical Therapist Medicare: Medicare Enrolled Practice Location: 924 W Custer Ave, Pontiac, IL 61764 Phone: 815-844-5411 Fax: 815-844-5318 | |
Ms. Kelsey R Carley, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1521 W Reynolds St, Pontiac, IL 61764 Phone: 815-844-2464 |