| Mr Michael Henderson, PT | |
|
1005 N Hickory Rd, South Bend, IN 46615-3723 | |
| (574) 233-5754 | |
| (574) 233-7406 |
| Full Name | Mr Michael Henderson |
|---|---|
| Gender | Male |
| Speciality | Physical Therapist In Private Practice |
| Experience | 13 Years |
| Location | 1005 N Hickory Rd, South Bend, Indiana |
| 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 |
|---|---|---|---|
| 1659463354 | NPI | - | NPPES |
| 000000356942 | Other | IN | ANTHEM |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225100000X | Physical Therapist | 05008295A (Indiana) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Beacon Health Llc | 1254690530 | 20 |
| Provider Name | Mcdonald Physical Therapy |
|---|---|
| Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
| Provider Identifiers | NPI Number: 1063419026 PECOS PAC ID: 0446386650 Enrollment ID: O20130923000155 |
| Provider Name | Beacon Health Llc |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1386154821 PECOS PAC ID: 1254690530 Enrollment ID: O20180111002456 |
| Mailing Address | Practice Location Address |
|---|---|
| Mr Michael Henderson, PT 14463 Thelma Ct, Granger, IN 46530-8460 Ph: (574) 271-1065 | Mr Michael Henderson, PT 1005 N Hickory Rd, South Bend, IN 46615-3723 Ph: (574) 233-5754 |
Nicholas Bugbee, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 1005 N Hickory Rd, South Bend, IN 46615 Phone: 574-233-5754 | |
Corie R Butcher, PT, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 411 E Ireland Rd Ste 400, South Bend, IN 46614 Phone: 574-231-8950 Fax: 574-231-8955 | |
Kathryn Blum, D.P.T. Physical Therapist Medicare: May Accept Medicare Assignments Practice Location: 1005 N Hickory Rd, South Bend, IN 46615 Phone: 574-233-5754 | |
Victor Salinas, Physical Therapist Medicare: May Accept Medicare Assignments Practice Location: 3510 Portage Rd Ste A, South Bend, IN 46628 Phone: 574-203-9527 | |
Jessica A. Preissing, PT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 53880 Carmichael Dr, South Bend, IN 46635 Phone: 574-247-9441 Fax: 574-247-9442 | |
Kathryn L. Werda, MSPT, DPT, OCS Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 6301 University Commons, Suite 430, South Bend, IN 46635 Phone: 574-968-8251 Fax: 574-968-2855 | |
John Mihay, PT,DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 53880 Carmichael Dr, South Bend, IN 46635 Phone: 574-247-9441 |