Michele Ann Pederson, MS, CCC-SLP | |
1324 5th North St, New Ulm, MN 56073-1514 | |
(507) 217-5173 | |
Not Available |
Full Name | Michele Ann Pederson |
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Gender | Female |
Speciality | Speech-language Pathologist |
Location | 1324 5th North St, New Ulm, Minnesota |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1962971333 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
235Z00000X | Speech-language Pathologist | 10197 (Minnesota) | Primary |
Provider Name | Go Therapy Inc |
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Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1841730876 PECOS PAC ID: 1759651227 Enrollment ID: O20170717003371 |
Mailing Address | Practice Location Address |
---|---|
Michele Ann Pederson, MS, CCC-SLP 1324 5th North St, New Ulm, MN 56073-1514 Ph: (507) 217-5173 | Michele Ann Pederson, MS, CCC-SLP 1324 5th North St, New Ulm, MN 56073-1514 Ph: (507) 217-5173 |
Amanda Jean Fuchs, SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 1324 5th St N, New Ulm, MN 56073 Phone: 507-217-5699 | |
Ms. Risa Sue Smith, SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 1324 5th St N, New Ulm, MN 56073 Phone: 507-233-1687 | |
Liza Ann Rignell, MA, CCC-SLP Speech-Language Pathologist Medicare: Medicare Enrolled Practice Location: 1324 5th St N, New Ulm, MN 56073 Phone: 507-217-5000 Fax: 507-217-5247 | |
Ms. Cheryl Thomson Wachman, M.S. CCC SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 1324 5th St N, New Ulm, MN 56073 Phone: 507-233-1686 Fax: 507-233-1247 |