| Robert Wichlacz, MPT | |
|
3041 Charlevoix Dr Se, Grand Rapids, MI 49546-7035 | |
| (616) 942-7200 | |
| Not Available |
| Full Name | Robert Wichlacz |
|---|---|
| Gender | Male |
| Speciality | Physical Medicine & Rehabilitation |
| Location | 3041 Charlevoix Dr Se, Grand Rapids, Michigan |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1487629085 | NPI | - | NPPES |
| 650G011440 | Other | MI | BOB BCBSMI |
| 5501006967 | Other | MI | BOB STATE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208100000X | Physical Medicine & Rehabilitation | 5501006967 (Michigan) | Primary |
| 225100000X | Physical Therapist | 5501006967 (Michigan) | Secondary |
| Entity Name | Advent Rehabilitation, Llc |
|---|---|
| Entity Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
| Entity Identifiers | NPI Number: 1780639658 PECOS PAC ID: 9537070545 Enrollment ID: O20210513002139 |
| Mailing Address | Practice Location Address |
|---|---|
| Robert Wichlacz, MPT 3041 Charlevoix Dr Se, Grand Rapids, MI 49546-7035 Ph: (616) 942-7200 | Robert Wichlacz, MPT 3041 Charlevoix Dr Se, Grand Rapids, MI 49546-7035 Ph: (616) 942-7200 |
Dr. Aashish A Deshpande, MD Physical Medicine & Rehabilitation Medicare: Accepting Medicare Assignments Practice Location: 221 Michigan St Ne Ste 400, Grand Rapids, MI 49503 Phone: 616-486-9600 | |
Dr. Jacob H Reisner, D.O. Physical Medicine & Rehabilitation Medicare: Accepting Medicare Assignments Practice Location: 2770 E Beltline Ave Ne, Grand Rapids, MI 49525 Phone: 616-267-8860 | |
Nathaniel Keith Johnson, MD Physical Medicine & Rehabilitation Medicare: May Accept Medicare Assignments Practice Location: 235 Wealthy St Se, Grand Rapids, MI 49503 Phone: 616-840-8000 | |
Andrea S Kuldanek, MD Physical Medicine & Rehabilitation Medicare: Accepting Medicare Assignments Practice Location: 235 Wealthy St Se, Grand Rapids, MI 49503 Phone: 616-840-8005 Fax: 616-840-9642 | |
Christopher Rizik, Physical Medicine & Rehabilitation Medicare: Accepting Medicare Assignments Practice Location: 235 Wealthy St Se, Grand Rapids, MI 49503 Phone: 616-840-8000 | |
Dr. Eric J Egeler, M.D. Physical Medicine & Rehabilitation Medicare: Accepting Medicare Assignments Practice Location: 3333 Evergreen Dr Ne, Grand Rapids, MI 49525 Phone: 616-364-4200 Fax: 616-364-7347 | |
Jason Toma, PTA Physical Medicine & Rehabilitation Medicare: Not Enrolled in Medicare Practice Location: 2320 E Beltline Ave Se, Grand Rapids, MI 49546 Phone: 616-831-8666 |