| Abigail Chrisine Johnson, | |
|
1705 16th Ave, Cumberland, WI 54829-8601 | |
| (715) 822-7301 | |
| (715) 822-7301 |
| Full Name | Abigail Chrisine Johnson |
|---|---|
| Gender | Female |
| Speciality | Speech-language Pathologist |
| Location | 1705 16th Ave, Cumberland, Wisconsin |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1457927261 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 235Z00000X | Speech-language Pathologist | 6466-154 (Wisconsin) | Primary |
| 106S00000X | Behavior Technician | (* (Not Available)) | Secondary |
| Provider Name | Cumberland Memorial Hospital Inc |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1831243757 PECOS PAC ID: 7719889203 Enrollment ID: O20040124000061 |
| Provider Name | Cumberland Memorial Hospital Inc |
|---|---|
| Provider Type | Part A Provider - Critical Access Hospital |
| Provider Identifiers | NPI Number: 1831243757 PECOS PAC ID: 7719889203 Enrollment ID: O20061104000515 |
| Mailing Address | Practice Location Address |
|---|---|
| Abigail Chrisine Johnson, 1705 16th Ave, Cumberland, WI 54829-8601 Ph: (715) 822-7300 | Abigail Chrisine Johnson, 1705 16th Ave, Cumberland, WI 54829-8601 Ph: (715) 822-7301 |
Amanda Meleen, Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 1110 7th Ave, Cumberland, WI 54829 Phone: 715-822-7200 |
Elsa Severson, CCC-SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 1010 8th Ave, Cumberland, WI 54829 Phone: 715-822-5124 |
Miss Jenna Mae Stuntz, Speech-Language Pathologist Medicare: May Accept Medicare Assignments Practice Location: 1705 16th Ave, Cumberland, WI 54829 Phone: 715-822-7300 |
Alyssa Brauer, CCC-SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 1010 8th Ave, Cumberland, WI 54829 Phone: 715-822-5124 |
Mr. John Edgar Cochran, CCC-SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 1490 3rd Ave, Cumberland, WI 54829 Phone: 505-787-4520 |