Andrea Renae Wydick, SLP is a
Speech-language Pathologist based in Milo, Missouri. Andrea Renae Wydick is licensed to practice in Missouri (license number 2013033373) and her current practice location is
22507 S 2325 Rd, Milo, Missouri. She can be reached at her office (for appointments etc.) via phone at
(417) 684-0105.
NPI number for Andrea Renae Wydick is 1629834627 and her current mailing address is 22507 S 2325 Rd, Milo, Missouri. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1629834627.
Healthcare Provider's Profile
| Full Name | Andrea Renae Wydick |
|---|
| Gender | Female |
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| Speciality | Speech-language Pathologist |
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| Location | 22507 S 2325 Rd, Milo, Missouri |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1629834627
- Provider Enumeration Date: 02/27/2024
- Last Update Date: 02/27/2024
Medical Identifiers
Medical identifiers for Andrea Renae Wydick such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
| 1629834627 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
| 235Z00000X | Speech-language Pathologist | 2013033373 (Missouri) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Andrea Renae Wydick is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
Andrea Renae Wydick, SLP 22507 S 2325 Rd, Milo, MO 64767-7643 Ph: (417) 684-0105 | Andrea Renae Wydick, SLP 22507 S 2325 Rd, Milo, MO 64767-7643 Ph: (417) 684-0105 |
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