Mrs Laurie Grace Stickler, PT in Grandville, MI - Medicare Physical Therapist Provider

Mrs Laurie Grace Stickler, PT is a medicare enrolled "Physical Therapist" provider in Grandville, Michigan. Her current practice location is 4565 Wilson Ave Sw, Ste 5a, Grandville, Michigan. You can reach out to her office (for appointments etc.) via phone at (616) 975-9078.

Mrs Laurie Grace Stickler is licensed to practice in Michigan (license number 5501010775) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1780681882.

Contact Information

	Mrs Laurie Grace Stickler, PT
	4565 Wilson Ave Sw, Ste 5a, Grandville, MI 49418-2371
	(616) 975-9078
	(616) 975-9248

Map and Direction

Healthcare Provider's Profile

Full Name	Mrs Laurie Grace Stickler
Gender	Female
Speciality	Physical Therapist
Location	4565 Wilson Ave Sw, Grandville, Michigan
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1780681882
Provider Enumeration Date: 07/05/2005
Last Update Date: 07/31/2020

Medicare PECOS Information:

PECOS PAC ID: 5698724342
Enrollment ID: I20050119001126

Medical Identifiers

Medical identifiers for Mrs Laurie Grace Stickler such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1780681882	NPI	-	NPPES
20-0223019	Other	MI	TAX ID
LS010775	Other	MI	LICENSE NUMBER
650D114420	Other	MI	BLUE CROSS BLUE SHIELD
P35364F	Other	MI	BLUE CARE NETWORK

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
225100000X	Physical Therapist	5501010775 (Michigan)	Primary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Mrs Laurie Grace Stickler allows following entities to bill medicare on her behalf.

Provider Name	Owens Physical Therapy Specialists, Llc
Provider Type	Part B Supplier - Physical/occupational Therapy Group In Private Practice
Provider Identifiers	NPI Number: 1629220835 PECOS PAC ID: 6002976412 Enrollment ID: O20140407001276

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Mrs Laurie Grace Stickler is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
Mrs Laurie Grace Stickler, PT 1260 Grand River Dr Ne, Ada, MI 49301-9500 Ph: () -	Mrs Laurie Grace Stickler, PT 4565 Wilson Ave Sw, Ste 5a, Grandville, MI 49418-2371 Ph: (616) 975-9078

Reviews and Comments

Physical Therapist in Grandville, MI

Ian Larabel, DPT Physical Therapist Medicare: Medicare Enrolled Practice Location: 3819 Rivertown Pkwy Sw Ste 100, Grandville, MI 49418 Phone: 616-818-0018 Fax: 616-278-1451
West Michigan Rehabilitation Center, Inc Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 3181 Prairie St Sw, Suite 102, Grandville, MI 49418 Phone: 616-249-3545 Fax: 616-249-3549
Lisa J Vis, MSPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 5570 Wilson Ave Sw, Suite A, Grandville, MI 49418 Phone: 616-594-2000 Fax: 616-594-2004
Laura Ann-ennis Conran, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 5570 Wilson Ave Sw, Suite A, Grandville, MI 49418 Phone: 616-855-1495 Fax: 616-531-5027
Ronald Kronemeyer P.t Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 4120 Chicago Dr Sw, Suite #7, Grandville, MI 49418 Phone: 616-534-0366 Fax: 616-534-0540
Mr. Kirk Christopher Randall, P.T. Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 3753 Basswood Dr Sw, Grandville, MI 49418 Phone: 616-340-6407 Fax: 616-301-2882
Mrs. Kendra Gail Walters, MSPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 5570 Wilson Ave Sw., Suite A., Grandville, MI 49418 Phone: 616-594-2000 Fax: 616-594-2004

Mrs Laurie Grace Stickler, PT - Medicare Physical Therapist in Grandville, MI