| Ashley Rose Koetters, MHS, CCC-SLP | |
|
319 S 48th St, Quincy, IL 62305-0593 | |
| (217) 275-2380 | |
| Not Available |
| Full Name | Ashley Rose Koetters |
|---|---|
| Gender | Female |
| Speciality | Qualified Speech Language Pathologist |
| Experience | 8 Years |
| Location | 319 S 48th St, Quincy, Illinois |
| 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 |
|---|---|---|---|
| 1235703398 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 235Z00000X | Speech-language Pathologist | 146.014695 (Illinois) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Empowerme Rehabilitation Illinois Llc | 2365718277 | 217 |
| Provider Name | Empowerme Rehabilitation Illinois Llc |
|---|---|
| Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
| Provider Identifiers | NPI Number: 1679098263 PECOS PAC ID: 2365718277 Enrollment ID: O20171020001353 |
| Provider Name | Empowerme Wellness Kansas City Llc |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1174118103 PECOS PAC ID: 9830504836 Enrollment ID: O20210317001954 |
| Mailing Address | Practice Location Address |
|---|---|
| Ashley Rose Koetters, MHS, CCC-SLP 412 S 16th St, Quincy, IL 62301-4364 Ph: (636) 697-4179 | Ashley Rose Koetters, MHS, CCC-SLP 319 S 48th St, Quincy, IL 62305-0593 Ph: (217) 275-2380 |
Stephanie Lynn Neiswender, ST Speech-Language Pathologist Medicare: Medicare Enrolled Practice Location: 2137 Jersey St, Quincy, IL 62301 Phone: 217-430-4435 | |
Brittany Haubrich, Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 213 N 48th St, Quincy, IL 62305 Phone: 217-919-2084 | |
Mrs. Heather Katherine Gustison, Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 1005 Broadway St, Quincy, IL 62301 Phone: 217-223-8400 Fax: 217-223-9945 | |
Sara Liesen, MS, CF-SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 804 State St, #5, Quincy, IL 62301 Phone: 217-224-1750 Fax: 217-224-0403 | |
Rebecca Nelson Griffin, CCC-SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 804 State St, Ste 5, Quincy, IL 62301 Phone: 217-224-1750 Fax: 217-224-0403 | |
Ms. Trisha M. Hilgenbrinck, CCC-SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 2450 College Ave, Quincy, IL 62301 Phone: 217-779-8247 | |
Mrs. Mackenzi Jo Tallcott, M.S., CCC-SLP Speech-Language Pathologist Medicare: Accepting Medicare Assignments Practice Location: 2631 Ken Ray Dr, Quincy, IL 62301 Phone: 217-209-1748 |