| Mrs Monica Lee Phillips, OTRL | |
|
30072 23rd Ave, Gobles, MI 49055-9698 | |
| (269) 569-5012 | |
| Not Available |
| Full Name | Mrs Monica Lee Phillips |
|---|---|
| Gender | Female |
| Speciality | Occupational Therapist In Private Practice |
| Experience | 9 Years |
| Location | 30072 23rd Ave, Gobles, Michigan |
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1891257507 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225X00000X | Occupational Therapist | 5201010580 (Michigan) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Dejonge Physical Therapy Llc | 3577939172 | 2 |
| Powerback Rehabilitation Llc | 2365359932 | 600 |
| Provider Name | Western Michigan University |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1467470492 PECOS PAC ID: 8426017179 Enrollment ID: O20041007000485 |
| Provider Name | Powerback Rehabilitation LLC |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1912226366 PECOS PAC ID: 2365359932 Enrollment ID: O20101207000651 |
| Provider Name | Dejonge Physical Therapy LLC |
|---|---|
| Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
| Provider Identifiers | NPI Number: 1386379857 PECOS PAC ID: 3577939172 Enrollment ID: O20221024001267 |
| Mailing Address | Practice Location Address |
|---|---|
| Mrs Monica Lee Phillips, OTRL 30176 23rd Ave, Gobles, MI 49055-9698 Ph: (269) 569-5012 | Mrs Monica Lee Phillips, OTRL 30072 23rd Ave, Gobles, MI 49055-9698 Ph: (269) 569-5012 |
Ashley Giuzio, Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 18527 32nd St, Gobles, MI 49055 Phone: 269-364-0143 |
Clayton Lee Stapert, Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 21685 Wise Rd, Gobles, MI 49055 Phone: 269-552-8284 |