| Gaurav Mitra, | |
|
1769 S Cedar St, Imlay City, MI 48444-1300 | |
| (810) 724-0421 | |
| (810) 721-0423 |
| Full Name | Gaurav Mitra |
|---|---|
| Gender | Male |
| Speciality | Physical Therapist In Private Practice |
| Experience | 19 Years |
| Location | 1769 S Cedar St, Imlay City, 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 |
|---|---|---|---|
| 1104078443 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225100000X | Physical Therapist | 5501013172 (Michigan) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Michigan Luna Care Physical Therapy Llc | 9032549217 | 49 |
| Provider Name | Michigan Luna Care Physical Therapy Llc |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1003448994 PECOS PAC ID: 9032549217 Enrollment ID: O20200501000804 |
| Mailing Address | Practice Location Address |
|---|---|
| Gaurav Mitra, 1769 S Cedar St, Imlay City, MI 48444-1300 Ph: (810) 724-0421 | Gaurav Mitra, 1769 S Cedar St, Imlay City, MI 48444-1300 Ph: (810) 724-0421 |
Laura A Ellis, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1769 S Cedar, Imlay City, MI 48444 Phone: 810-724-0421 Fax: 810-721-0423 | |
Thibodeau Physical Therapy Limited Partnership Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1808 S Cedar St, Imlay City, MI 48444 Phone: 810-721-0421 Fax: 810-721-0423 | |
Mrs. Rachelle Leigh Baier, MPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 1769 S Cedar St, Imlay City, MI 48444 Phone: 810-724-0421 Fax: 810-721-0423 | |
Plymouth Physical Therapy Specialists Limited Partnership Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1808 S Cedar St, Imlay City, MI 48444 Phone: 810-724-0421 | |
Bonnie Maas, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1769 S Cedar St, Imlay City, MI 48444 Phone: 810-724-0421 Fax: 810-721-0423 | |
Vinita D Shah, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 6800 Newark Rd, Suite 200, Imlay City, MI 48444 Phone: 810-721-8700 Fax: 810-721-8715 |