Tanner Alan Gagnon, | |
6199 Haggerty Rd, West Bloomfield, MI 48322-5001 | |
(248) 560-2505 | |
Not Available |
Full Name | Tanner Alan Gagnon |
---|---|
Gender | Male |
Speciality | Physical Therapy |
Experience | 3 Years |
Location | 6199 Haggerty Rd, West Bloomfield, 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 |
---|---|---|---|
1194394775 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
225100000X | Physical Therapist | (* (Not Available)) | Secondary |
225100000X | Physical Therapist | (Michigan) | Primary |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Ati Holdings Llc | 9537112719 | 366 |
Provider Name | Ati Holdings Llc |
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Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
Provider Identifiers | NPI Number: 1396781050 PECOS PAC ID: 9537112719 Enrollment ID: O20060727000214 |
Mailing Address | Practice Location Address |
---|---|
Tanner Alan Gagnon, 790 Remington Blvd, Bolingbrook, IL 60440-4909 Ph: () - | Tanner Alan Gagnon, 6199 Haggerty Rd, West Bloomfield, MI 48322-5001 Ph: (248) 560-2505 |
Ancilla Walker, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 4779 Haggerty Rd, West Bloomfield, MI 48323 Phone: 248-301-5502 Fax: 248-366-4126 | |
Carol Casolari, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 6010 W Maple Rd, Suite 215, West Bloomfield, MI 48322 Phone: 248-539-2900 | |
Muhammad Suhail Siddiqui, RPT Physical Therapist Medicare: Medicare Enrolled Practice Location: 5575 Northcote, West Bloomfield, MI 48322 Phone: 248-722-7473 Fax: 248-289-4691 | |
Katharine Elizabeth Graham, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 2300 Haggerty Rd Ste 2020, West Bloomfield, MI 48323 Phone: 248-313-5940 Fax: 248-313-5941 | |
Dr. Elina Gorelkin, PT, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 5436 Kingsfield Dr, West Bloomfield, MI 48322 Phone: 248-595-1500 | |
Bahram Nadim, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 7125 Orchard Lake Rd Ste 303, West Bloomfield, MI 48322 Phone: 248-310-2438 | |
Anna Kebl, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 6777 W Maple Rd, West Bloomfield, MI 48322 Phone: 248-325-3845 |