Katie A Debicki, SLP | |
524 E Mckinley Ave Ste 1, Mishawaka, IN 46545 | |
(574) 255-8730 | |
(574) 255-8732 |
Full Name | Katie A Debicki |
---|---|
Gender | Female |
Speciality | Qualified Speech Language Pathologist |
Experience | 17 Years |
Location | 524 E Mckinley Ave Ste 1, Mishawaka, Indiana |
Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1033391412 | NPI | - | NPPES |
300037606 | Medicaid | IN |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
235Z00000X | Speech-language Pathologist | 242000708 (Illinois) | Secondary |
235Z00000X | Speech-language Pathologist | 22004936A (Indiana) | Primary |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Concept Therapy Professional Corporation | 8123117876 | 3 |
Provider Name | Concept Therapy Professional Corporation |
---|---|
Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
Provider Identifiers | NPI Number: 1497824577 PECOS PAC ID: 8123117876 Enrollment ID: O20071203000365 |
Mailing Address | Practice Location Address |
---|---|
Katie A Debicki, SLP 524 E Mckinley Ave, Ste 1, Mishawaka, IN 46545-6285 Ph: (574) 255-8730 | Katie A Debicki, SLP 524 E Mckinley Ave Ste 1, Mishawaka, IN 46545 Ph: (574) 255-8730 |
Brianne Woods, Speech-Language Pathologist Medicare: Medicare Enrolled Practice Location: 3305 Grape Rd Ste 3, Mishawaka, IN 46545 Phone: 574-217-7423 | |
Mrs. Adalynn Danette Mccullough, M.A. CCC-SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 530 Tanglewood Ln, Mishawaka, IN 46545 Phone: 574-285-0120 | |
Kia Williams, Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 235 Ironworks Ave Apt 258, Mishawaka, IN 46544 Phone: 773-627-6434 | |
Mrs. Julie T. Voor, M.A.,CCC-SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 54530 Whispering Oak Dr, Mishawaka, IN 46545 Phone: 574-255-4360 Fax: 574-255-4360 | |
Laura Marie Bevis, MS, CCC-SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 905 Shady Oaks Ct, Mishawaka, IN 46544 Phone: 574-440-5420 | |
Allison Anne Vansickle, BS-SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 59888 Pine Crest Dr, Mishawaka, IN 46544 Phone: 574-309-2206 |