| Melissa Pennington, | |
|
2585 Lafranier Rd, Traverse City, MI 49686-8972 | |
| (231) 947-9511 | |
| Not Available |
| Full Name | Melissa Pennington |
|---|---|
| Gender | Female |
| Speciality | Occupational Therapist |
| Location | 2585 Lafranier Rd, Traverse City, Michigan |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1982034617 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225X00000X | Occupational Therapist | OT60666791 (Washington) | Primary |
| Provider Name | Rue & Primavera Occupational & Physical Therapy Llc |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1942410907 PECOS PAC ID: 0749227676 Enrollment ID: O20050412001506 |
| Mailing Address | Practice Location Address |
|---|---|
| Melissa Pennington, 785 Se Bayshore Dr, Ste 102, Oak Harbor, WA 98277-3275 Ph: (231) 947-9511 | Melissa Pennington, 2585 Lafranier Rd, Traverse City, MI 49686-8972 Ph: (231) 947-9511 |
Kristine A Siemer, OTR/L, CHT Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 1105 Sixth St, Traverse City, MI 49684 Phone: 231-935-8600 | |
Susan Milliman, OTR Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 1650 Barlow St Ste 11, Traverse City, MI 49686 Phone: 231-941-3100 Fax: 231-922-0382 | |
Hannah Schweikart, Occupational Therapist Medicare: Accepting Medicare Assignments Practice Location: 1000 Pavillions Cir, Traverse City, MI 49684 Phone: 231-932-3000 | |
Stacey Karpouzes Mower, Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 1650 Barlow St Ste 10, Traverse City, MI 49686 Phone: 231-941-8100 | |
Ms. Michelle Sturdevant, OT Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 2950 Lafranier Rd, Traverse City, MI 49686 Phone: 231-947-0506 | |
Samuel Olsen Olsen, Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 1810 Chartwell Dr, Traverse City, MI 49696 Phone: 231-929-2354 | |
Barbara Jeanne Martin, OT Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 1650 Barlow St, Traverse City, MI 49686 Phone: 231-941-4100 Fax: 231-922-0382 |