| Amy Sullivan, | |
|
811 Keylon St, Manchester, TN 37355-2413 | |
| (931) 450-5150 | |
| Not Available |
| Full Name | Amy Sullivan |
|---|---|
| Gender | Female |
| Speciality | Qualified Speech Language Pathologist |
| Experience | 24 Years |
| Location | 811 Keylon St, Manchester, Tennessee |
| 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 |
|---|---|---|---|
| 1396389813 | NPI | - | NPPES |
| 2660 | Medicaid | TN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 235Z00000X | Speech-language Pathologist | 2660 (Tennessee) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Broad River Rehabilitation | 3375801350 | 26 |
| Provider Name | Broad River Rehabilitation |
|---|---|
| Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
| Provider Identifiers | NPI Number: 1902317589 PECOS PAC ID: 3375801350 Enrollment ID: O20250107004195 |
| Mailing Address | Practice Location Address |
|---|---|
| Amy Sullivan, 811 Keylon St, Manchester, TN 37355-2413 Ph: () - | Amy Sullivan, 811 Keylon St, Manchester, TN 37355-2413 Ph: (931) 450-5150 |
Megan Ann Owens, MS., CCC-SLP Speech-Language Pathologist Medicare: Accepting Medicare Assignments Practice Location: 811 Keylon St, Manchester, TN 37355 Phone: 931-919-7928 Fax: 877-856-7133 | |
Callie Marie Wolfe, M.S. CCC-SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 550 Lexington Cir, Manchester, TN 37355 Phone: 731-609-4497 | |
Mrs. Maggie Keele Millraney, CCC-SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 852 Interstate Dr, Manchester, TN 37355 Phone: 931-728-5479 | |
Ashley Harmon Layne, M.S.,CCC-SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 205 S Woodland St, Manchester, TN 37355 Phone: 931-728-5189 Fax: 931-728-5180 |