| Charles Walter Zelkowski, DPT | |
|
158 N 1st St, Suite D, Harrison, MI 48625-2520 | |
| (989) 539-4167 | |
| (989) 539-4436 |
| Full Name | Charles Walter Zelkowski |
|---|---|
| Gender | Male |
| Speciality | Physical Therapist In Private Practice |
| Experience | 13 Years |
| Location | 158 N 1st St, Harrison, 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 |
|---|---|---|---|
| 1922445964 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225100000X | Physical Therapist | 5501016330 (Michigan) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Evergreen Physical Therapy Limited Partnership | 7618074220 | 10 |
| Provider Name | Evergreen Physical Therapy Limited Partnership |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1295740637 PECOS PAC ID: 7618074220 Enrollment ID: O20070516000180 |
| Mailing Address | Practice Location Address |
|---|---|
| Charles Walter Zelkowski, DPT 158 N 1st St, Suite D, Harrison, MI 48625-2520 Ph: (989) 539-4167 | Charles Walter Zelkowski, DPT 158 N 1st St, Suite D, Harrison, MI 48625-2520 Ph: (989) 539-4167 |
Mitchell L. Mcmillan, M.S.P.T. Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 158 N 1st St, Suite D, Harrison, MI 48625 Phone: 989-539-4167 Fax: 989-539-4436 | |
Dr. Derick Henry Roland, PT, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 815 N Clare Ave Ste A, Harrison, MI 48625 Phone: 989-741-2205 | |
Mrs. Brooke W. Loucks, D.P.T. Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 158 North 1st Street, Suite D, Harrison, MI 48625 Phone: 989-539-4167 Fax: 989-539-4436 | |
Evergreen Physical Therapy Limited Partnership Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 158 North First Street, Suite D, Harrison, MI 48625 Phone: 989-539-4167 Fax: 989-539-4436 |