Mr Shawn Edyvean, PT | |
1310 E Cloverland Dr, Ironwood, MI 49938-1606 | |
(906) 932-4200 | |
(906) 932-4201 |
Full Name | Mr Shawn Edyvean |
---|---|
Gender | Male |
Speciality | Physical Therapy |
Experience | 23 Years |
Location | 1310 E Cloverland Dr, Ironwood, 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 |
---|---|---|---|
1285824581 | NPI | - | NPPES |
40371700 | Medicaid | WI |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
225100000X | Physical Therapist | 5501010780 (Michigan) | Primary |
225100000X | Physical Therapist | 9719-024 (Wisconsin) | Secondary |
Provider Name | Great Northern Rehab P C |
---|---|
Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
Provider Identifiers | NPI Number: 1386937530 PECOS PAC ID: 8729251269 Enrollment ID: O20111028000643 |
Mailing Address | Practice Location Address |
---|---|
Mr Shawn Edyvean, PT 1310 E Cloverland Dr, Ironwood, MI 49938-1606 Ph: (906) 932-4200 | Mr Shawn Edyvean, PT 1310 E Cloverland Dr, Ironwood, MI 49938-1606 Ph: (906) 932-4200 |
Mrs. Kathleen Marie Walesewicz, PHYSICAL THERAPIST Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1310 E Cloverland Dr, Ironwood, MI 49938 Phone: 906-932-4200 Fax: 906-932-4201 | |
Donald W Dugan, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 216 E Aurora St, Ironwood, MI 49938 Phone: 906-932-0714 | |
Jannel Castillo Fink, PT Physical Therapist Medicare: Medicare Enrolled Practice Location: N10565 Grandview Ln, Ironwood, MI 49938 Phone: 906-932-5990 | |
Great Northern Rehab P C Physical Therapist Medicare: Medicare Enrolled Practice Location: 1310 E Cloverland Dr, Ironwood, MI 49938 Phone: 906-932-4200 Fax: 906-932-4201 | |
Carla Marie Loeffler, PT, DPT Physical Therapist Medicare: Medicare Enrolled Practice Location: N10561 Grandview Ln, Physical Therapy/rehab Department, Ironwood, MI 49938 Phone: 906-932-2525 | |
Ms. Nancy Ann Levra, P.T. Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1310 E Cloverland Dr, Ironwood, MI 49938 Phone: 906-932-4200 Fax: 906-932-4201 |