| Jack Ervin, SLP | |
|
1914 Iron Wheel Dr Unit 2, Windsor, CO 80550-3897 | |
| (815) 549-8089 | |
| (855) 678-8887 |
| Full Name | Jack Ervin |
|---|---|
| Gender | Male |
| Speciality | Speech-language Pathologist |
| Location | 1914 Iron Wheel Dr Unit 2, Windsor, Colorado |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1003614108 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 235Z00000X | Speech-language Pathologist | 0005899 (Colorado) | Primary |
| Provider Name | Prestige Rehab Llc |
|---|---|
| Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
| Provider Identifiers | NPI Number: 1750032553 PECOS PAC ID: 3375936495 Enrollment ID: O20240618002508 |
| Provider Name | Prestige Rehab Colorado |
|---|---|
| Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
| Provider Identifiers | NPI Number: 1972333961 PECOS PAC ID: 1759822265 Enrollment ID: O20240924004741 |
| Mailing Address | Practice Location Address |
|---|---|
| Jack Ervin, SLP 1914 Iron Wheel Dr Unit 2, Windsor, CO 80550-3897 Ph: (815) 549-8089 | Jack Ervin, SLP 1914 Iron Wheel Dr Unit 2, Windsor, CO 80550-3897 Ph: (815) 549-8089 |
Heidi Jill Jahnke, Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 4650 Royal Vista Cir, Windsor, CO 80528 Phone: 970-305-5070 | |
Mrs. Lisa Nicole Ayers, M.S., CCC-SLP Speech-Language Pathologist Medicare: Medicare Enrolled Practice Location: 561 E Garden Dr Unit B, Windsor, CO 80550 Phone: 970-833-5686 Fax: 970-833-5687 | |
Brooke M Fischer, MHS, CCC-SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 1525 Barnwood Ct, Windsor, CO 80550 Phone: 573-275-4618 | |
Bloom In Connection Llc Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 991 Columbine Dr, Windsor, CO 80550 Phone: 970-372-8204 | |
Mrs. Bailey Kaye Yerby, M.S., CCC-SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 561 E Garden Dr Unit B, Windsor, CO 80550 Phone: 970-833-5686 Fax: 970-833-5687 | |
Kayla Dawn Reed-baum, M.A. CCC-SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 710 3rd St, Windsor, CO 80550 Phone: 970-686-7474 |