Brie Bolander, | |
440 Central Ave, Lexington, NC 27292-2634 | |
(336) 236-6546 | |
(336) 236-9546 |
Full Name | Brie Bolander |
---|---|
Gender | Female |
Speciality | Speech-language Pathologist |
Location | 440 Central Ave, Lexington, North Carolina |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1124572458 | NPI | - | NPPES |
1548242829 | Medicaid | WI | |
52-6552 | Other | WI | MEDICARE# |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
235Z00000X | Speech-language Pathologist | 4147-154 (Wisconsin) | Secondary |
235Z00000X | Speech-language Pathologist | 30003569 (North Carolina) | Primary |
Provider Name | Prohealth Medical Group Inc |
---|---|
Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1356322440 PECOS PAC ID: 3476465188 Enrollment ID: O20031103000066 |
Mailing Address | Practice Location Address |
---|---|
Brie Bolander, 440 Central Ave, Lexington, NC 27292-2634 Ph: (336) 236-6546 | Brie Bolander, 440 Central Ave, Lexington, NC 27292-2634 Ph: (336) 236-6546 |
Caitlin Hyde, Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 655 Waller Rd, Lexington, NC 27295 Phone: 910-787-0169 Fax: 336-376-7711 | |
Jessica Burr, SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 440 Central Ave, Lexington, NC 27292 Phone: 336-236-6546 Fax: 336-236-9546 | |
Growing Voices Speech Therapy Pllc Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 655 Waller Rd, Lexington, NC 27295 Phone: 910-787-0169 Fax: 336-376-7711 | |
Carrie Crofford, Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 31 S Talbert Blvd # 255, Lexington, NC 27292 Phone: 336-475-5234 | |
Katherine Wright, M.S., CCC-SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 440 Central Ave, Lexington, NC 27292 Phone: 336-236-6546 | |
Anderson Therapy Services Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 3891 Arnold Rd, Lexington, NC 27295 Phone: 336-618-2225 |