| Dr Michelle Ann Jimerson, DPT | |
|
275 Thomas Indian School Dr, Irving, NY 14081-9341 | |
| (716) 532-5582 | |
| (716) 242-6344 |
| Full Name | Dr Michelle Ann Jimerson |
|---|---|
| Gender | Female |
| Speciality | Physical Therapist |
| Location | 275 Thomas Indian School Dr, Irving, New York |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1982058749 | NPI | - | NPPES |
| 06899334 | Medicaid | NY |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225100000X | Physical Therapist | 039312 (New York) | Primary |
| Provider Name | Seneca Nation of Indians |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1023033511 PECOS PAC ID: 8123920592 Enrollment ID: O20040126000146 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Michelle Ann Jimerson, DPT 987 R C Hoag Dr, Salamanca, NY 14779-1365 Ph: (716) 945-5894 | Dr Michelle Ann Jimerson, DPT 275 Thomas Indian School Dr, Irving, NY 14081-9341 Ph: (716) 532-5582 |
Mr. Thomas Charles Ciancio, P.T. Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 845 Routes 5 And 20, Irving, NY 14081 Phone: 716-951-7219 |
Mrs. Thara Gopinath, M PT Physical Therapist Medicare: Medicare Enrolled Practice Location: 845 Routes 5 & 20, Irving, NY 14081 Phone: 716-951-7270 Fax: 716-951-7271 |
Amirkia Akbari, Physical Therapist Medicare: Medicare Enrolled Practice Location: 845 Main Rd, Irving, NY 14081 Phone: 716-951-7270 Fax: 716-951-7271 |
Mr. Jason Christopher Kloc, P.T. Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 845 Routes 5 And 20, Irving, NY 14081 Phone: 716-951-7270 Fax: 716-951-7271 |
Karen Elizabeth Kaminski, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 845 Routes 5 And 20, Irving, NY 14081 Phone: 716-951-7270 |
Christopher I Zonneville, PT, DPT Physical Therapist Medicare: May Accept Medicare Assignments Practice Location: 275 Thomas Indian School Dr, Irving, NY 14081 Phone: 716-532-5582 Fax: 716-242-6344 |
Benjamin Ronald Baumler, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 845 Main Rd, Irving, NY 14081 Phone: 716-951-7270 Fax: 716-951-7271 |