| Susan Elizabeth Vandenbergh, PT | |
|
605 S Dewey St, Greenville, IL 62246-2296 | |
| (618) 627-7748 | |
| Not Available |
| Full Name | Susan Elizabeth Vandenbergh |
|---|---|
| Gender | Female |
| Speciality | Physical Therapist |
| Location | 605 S Dewey St, Greenville, Illinois |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1942022561 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225100000X | Physical Therapist | 070.006159 (Illinois) | Primary |
| Provider Name | Empowerme Rehabilitation Illinois Llc |
|---|---|
| Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
| Provider Identifiers | NPI Number: 1679098263 PECOS PAC ID: 2365718277 Enrollment ID: O20171020001353 |
| Provider Name | Empowerme Wellness Kansas City Llc |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1174118103 PECOS PAC ID: 9830504836 Enrollment ID: O20210317001954 |
| Mailing Address | Practice Location Address |
|---|---|
| Susan Elizabeth Vandenbergh, PT 605 S Dewey St, Greenville, IL 62246-2296 Ph: (618) 627-7748 | Susan Elizabeth Vandenbergh, PT 605 S Dewey St, Greenville, IL 62246-2296 Ph: (618) 627-7748 |
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 | |
Mr. Michael P Irving, PT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 200 S 3rd St, Greenville, IL 62246 Phone: 618-664-9720 Fax: 618-664-9721 | |
Lacey Wiegmann, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 200 Health Care Dr, Greenville, IL 62246 Phone: 618-664-2626 | |
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 |