| Bridget Rose, SLP | |
|
1721 Pine St, Philadelphia, PA 19103-6701 | |
| (215) 545-3322 | |
| Not Available |
| Full Name | Bridget Rose |
|---|---|
| Gender | Female |
| Speciality | Speech-language Pathologist |
| Location | 1721 Pine St, Philadelphia, Pennsylvania |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1316257793 | NPI | - | NPPES |
| 1104839891 | Other | IN | ANTHEM PTAN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 235Z00000X | Speech-language Pathologist | SL010255 (Pennsylvania) | Primary |
| 235Z00000X | Speech-language Pathologist | 22009079A (Indiana) | Secondary |
| Provider Name | Indiana University Health Care Associates Inc |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1902032832 PECOS PAC ID: 5799755864 Enrollment ID: O20040727000955 |
| Mailing Address | Practice Location Address |
|---|---|
| Bridget Rose, SLP 250 N Shadeland Ave, Indianapolis, IN 46219-4959 Ph: () - | Bridget Rose, SLP 1721 Pine St, Philadelphia, PA 19103-6701 Ph: (215) 545-3322 |
Ms. Laurie Elizabeth Tuten, CCC/SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 603 E Girard Ave, 2nd Floor, Philadelphia, PA 19125 Phone: 215-584-1194 | |
Corinne Galvan, MA CCC-SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 625 E Wister St, Philadelphia, PA 19144 Phone: 440-227-3490 | |
Miss Monica Donat, Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 8853 Winchester Ave, Philadelphia, PA 19115 Phone: 215-298-4098 | |
Jazmine Gordon, CCC-SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 7538 Elmwood Ave, Philadelphia, PA 19153 Phone: 215-435-5281 | |
Mrs. Christina Zavrotny Pearson, SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 3975 Conshohocken Ave, Philadelphia, PA 19131 Phone: 215-879-1000 Fax: 215-879-3912 | |
Katie Paul Glass, Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 322 Reed St Apt 1f, Philadelphia, PA 19147 Phone: 267-307-4282 | |
Leslie Hanlon Vnenchak, Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 3400 Civic Center Blvd, Philadelphia, PA 19104 Phone: 215-662-4000 |