| Bethany Cockram, | |
|
1997 S Main St Ste 601, Blacksburg, VA 24060-6606 | |
| (540) 961-1230 | |
| Not Available |
| Full Name | Bethany Cockram |
|---|---|
| Gender | Female |
| Speciality | Qualified Speech Language Pathologist |
| Experience | 3 Years |
| Location | 1997 S Main St Ste 601, Blacksburg, Virginia |
| 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 |
|---|---|---|---|
| 1366139180 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 235Z00000X | Speech-language Pathologist | 2202011386 (Virginia) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Expressable Therapy Pc | 0042698136 | 67 |
| Expressable Therapy Pc | 0042698136 | 67 |
| Provider Name | Expressable Therapy PC |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1134875370 PECOS PAC ID: 0042698136 Enrollment ID: O20220930001901 |
| Mailing Address | Practice Location Address |
|---|---|
| Bethany Cockram, 610 Deerfield Ln Ne, Floyd, VA 24091-3724 Ph: (540) 239-7075 | Bethany Cockram, 1997 S Main St Ste 601, Blacksburg, VA 24060-6606 Ph: (540) 961-1230 |
Ms. Diane Marie Barbernitz, M.S. Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 1000 Litton Ln, Blacksburg, VA 24060 Phone: 540-443-3436 |
Emily Moore, Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 1997 S Main St Ste 601, Blacksburg, VA 24060 Phone: 540-961-1230 |
Mrs. Nicole Danielle Clements, M.S. CCC-SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 2603 Warm Hearth Dr, Blacksburg, VA 24060 Phone: 540-552-3176 |
Caitlan Alexadawn Cline, M.S. CCC-SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 1997 S Main St Ste 601, Blacksburg, VA 24060 Phone: 540-961-1230 |
Mrs. Kristin T Sears-kopp, MA, CCC-SLP Speech-Language Pathologist Medicare: May Accept Medicare Assignments Practice Location: 1997 S Main St Ste 601, Blacksburg, VA 24060 Phone: 540-961-1230 |
Brittni Bailey, Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 107 Lucas Dr, Apt 6, Blacksburg, VA 24060 Phone: 574-242-1188 |
Hanna Boothe, Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 1000 Litton Ln, Blacksburg, VA 24060 Phone: 540-443-3436 |