| Annie Jack, | |
|
3980 E Jackson Dr, Independence, MO 64057-2205 | |
| (816) 795-1433 | |
| Not Available |
| Full Name | Annie Jack |
|---|---|
| Gender | Female |
| Speciality | Speech-language Pathologist |
| Location | 3980 E Jackson Dr, Independence, Missouri |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1669861985 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 235Z00000X | Speech-language Pathologist | 2012011146 (Missouri) | Primary |
| Provider Name | Empowerme Rehabilitation Missouri Llc |
|---|---|
| Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
| Provider Identifiers | NPI Number: 1205334521 PECOS PAC ID: 9234402470 Enrollment ID: O20180810001282 |
| Provider Name | Empowerme Wellness Kansas City Llc |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1124619697 PECOS PAC ID: 9830504836 Enrollment ID: O20210304001079 |
| Mailing Address | Practice Location Address |
|---|---|
| Annie Jack, 703 Nw Par Dr, Grain Valley, MO 64029-7347 Ph: () - | Annie Jack, 3980 E Jackson Dr, Independence, MO 64057-2205 Ph: (816) 795-1433 |
Vicki E Resch, Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 19049 E Valley View Pkwy, Ste H, Independence, MO 64055 Phone: 816-795-8944 Fax: 816-795-8633 | |
Jennifer Hurley-hill, Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 14820 E 42nd St S, Independence, MO 64055 Phone: 816-478-7762 | |
Elizabeth Bell, Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 201 N Forest Ave, Independence, MO 64050 Phone: 816-521-5300 | |
Mrs. Vicky Harak, MS Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 218 N Pleasant St, Independence School District, Independence, MO 64050 Phone: 816-521-2700 Fax: 816-521-2999 | |
Jenna Brooks, Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 17302 E R D Mize Rd, Independence, MO 64057 Phone: 816-521-5395 | |
Mrs. Emily Anna Craver, Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 3980 E Jackson Dr, Independence, MO 64057 Phone: 816-795-1433 | |
Mrs. Jacqueline Voss, MS CCC SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 1800 S Swope Dr, Independence, MO 64057 Phone: 816-257-2566 |