| Mr Michael P Irving, PT | |
|
200 S 3rd St, Greenville, IL 62246-1731 | |
| (618) 664-9720 | |
| (618) 664-9721 |
| Full Name | Mr Michael P Irving |
|---|---|
| Gender | Male |
| Speciality | Physical Therapist In Private Practice |
| Experience | 27 Years |
| Location | 200 S 3rd St, Greenville, Illinois |
| 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 |
|---|---|---|---|
| 1891121174 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225100000X | Physical Therapist | 070.011590 (Illinois) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Phoenix Physical Therapy | 5991861049 | 7 |
| Provider Name | Phoenix Physical Therapy |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1659525368 PECOS PAC ID: 5991861049 Enrollment ID: O20090225000708 |
| Mailing Address | Practice Location Address |
|---|---|
| Mr Michael P Irving, PT 200 S 3rd St, Greenville, IL 62246-1731 Ph: (618) 664-9720 | Mr Michael P Irving, PT 200 S 3rd St, Greenville, IL 62246-1731 Ph: (618) 664-9720 |
Mrs. Tammy Sue Tulacro, LPT/LAT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1105 E Harris Ave, Greenville, IL 62246 Phone: 618-664-4600 | |
Greenville Rehab & Pain Clinic Sc Physical Therapist Medicare: Medicare Enrolled Practice Location: 1105 E Harris Ave, Greenville, IL 62246 Phone: 618-664-4600 Fax: 618-664-2136 | |
Anna White, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 200 Health Care Dr, Greenville, IL 62246 Phone: 618-651-0444 | |
Jordan Vandyke, Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 200 Health Care Dr, Greenville, IL 62246 Phone: 618-664-2626 | |
Lacey Wiegmann, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 200 Health Care Dr, Greenville, IL 62246 Phone: 618-664-2626 | |
Susan Elizabeth Vandenbergh, P.T. Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 605 S Dewey St, Greenville, IL 62246 Phone: 618-627-7748 |