Individual ProviderEmily GladstonePhysical Medicine & RehabilitationAllopathic & Osteopathic PhysiciansPractice Address235 Wealthy St SE, Grand Rapids, MI 49503-5247(616) 840-8000(248) 882-0527PECOS EnrollmentBased on the most recent information from CMS, provider Emily Gladstone is legally eligible to order and refer claims for Part B, HHA, DME and PMD services.Part BMedicare Part BEnrolledHHAHome Health AgencyEnrolledDMEDurable Medical EquipmentEnrolledPMDPower Mobility DeviceEnrolledCMS last updated its PECOS records yesterday at 10:10 AM.Profile DetailsProvider ID1760860654Provider TypeIndividualFull NameGladstone, EmilyCredentialD.O.GenderFemaleSole ProprietorNoEnumeration Date5/11/2015Last Updated2/21/2022Contact InformationPractice LocationPractice Address235 Wealthy St SE, Grand Rapids, MI 49503-5247Phone(616) 840-8000FaxUnlisted FaxMailing LocationMailing Address8705 Carlisle Dr SW, Byron Center, MI 49315-8185Phone(248) 882-0527FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode208100000XPrimaryDescriptionPhysical Medicine & RehabilitationAllopathic & Osteopathic PhysiciansLicense5101026517Michigan