Ms Michele Elisa Klukos, MS,PT | |
1231 W Main St, Suite B, Fremont, MI 49412-1484 | |
(231) 924-8777 | |
(231) 924-8776 |
Full Name | Ms Michele Elisa Klukos |
---|---|
Gender | Female |
Speciality | Physical Therapy |
Experience | 4 Years |
Location | 1231 W Main St, Fremont, Michigan |
Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1952407298 | NPI | - | NPPES |
4717630 | Medicaid | MI | |
30609 | Other | MI | BCBS |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
225100000X | Physical Therapist | L708615 (Michigan) | Primary |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Ivyrehab Michigan Llc | 6901165893 | 95 |
Provider Name | Ivyrehab Michigan Llc |
---|---|
Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
Provider Identifiers | NPI Number: 1104337120 PECOS PAC ID: 6901165893 Enrollment ID: O20180123001245 |
Mailing Address | Practice Location Address |
---|---|
Ms Michele Elisa Klukos, MS,PT 1231 W Main St, Suite B, Fremont, MI 49412-1484 Ph: (231) 924-8777 | Ms Michele Elisa Klukos, MS,PT 1231 W Main St, Suite B, Fremont, MI 49412-1484 Ph: (231) 924-8777 |
Nichole Cruzan, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1401 W Main St, Fremont, MI 49412 Phone: 231-924-3998 | |
Elyse Vanderkamp, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1401 W Main St, Fremont, MI 49412 Phone: 231-924-3185 | |
Dr. Mary Ethel Lobrigas, PT, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1401 W Main St, Fremont, MI 49412 Phone: 231-924-3860 Fax: 231-924-3197 | |
Beth Ann Vantreese, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1401 W Main St, Fremont, MI 49412 Phone: 231-924-3195 | |
Mary Grace Lagare, PTR Physical Therapist Medicare: Medicare Enrolled Practice Location: 4554 W 48th St, Fremont, MI 49412 Phone: 619-838-1728 | |
Leah Marie Bartolameolli, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 212 S Sullivan Ave, Fremont, MI 49412 Phone: 231-924-1379 | |
Ryan Thomas Gailey, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1401 W Main St, Fremont, MI 49412 Phone: 231-924-3195 |