| Madison Pung, | |
|
1940 Tall Oaks Dr W, Ludington, MI 49431-9584 | |
| (231) 233-1672 | |
| Not Available |
| Full Name | Madison Pung |
|---|---|
| Gender | Female |
| Speciality | Occupational Therapist |
| Location | 1940 Tall Oaks Dr W, Ludington, Michigan |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1700654548 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225X00000X | Occupational Therapist | (* (Not Available)) | Primary |
| 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 |
|---|---|
| Madison Pung, 1940 Tall Oaks Dr W, Ludington, MI 49431-9584 Ph: () - | Madison Pung, 1940 Tall Oaks Dr W, Ludington, MI 49431-9584 Ph: (231) 233-1672 |
Therese Zitta, Occupational Therapist Medicare: Medicare Enrolled Practice Location: 1 Atkinson Dr, Ludington, MI 49431 Phone: 231-923-3364 | |
Kimberly Janicki, Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 3925 Hopkins Lake Dr, Ludington, MI 49431 Phone: 231-690-4220 Fax: 231-316-6040 | |
Wendy V Early, OTR/L Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 1000 E Tinkham Ave, Ludington, MI 49431 Phone: 231-845-6291 | |
Sarah Simon, Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 1000 E Tinkham Ave, Ludington, MI 49431 Phone: 231-845-6291 Fax: 231-843-4121 | |
Mrs. Laura Lee Strong, MS, OTR/L Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 1000 E Tinkham Ave, Ludington, MI 49431 Phone: 231-845-6291 Fax: 231-843-4121 | |
Briana Somero, OTRL Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 1 Atkinson Dr, Ludington, MI 49431 Phone: 231-845-2458 | |
Jessica Fiting, OTR Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 1000 E Tinkham Ave, Ludington, MI 49431 Phone: 231-845-6291 |