| Carmen Krug, SLP | |
|
300 Cheyenne Ct, Deforest, WI 53532-1007 | |
| (608) 516-3702 | |
| Not Available |
| Full Name | Carmen Krug |
|---|---|
| Gender | Female |
| Speciality | Speech-language Pathologist |
| Location | 300 Cheyenne Ct, Deforest, Wisconsin |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1407428121 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 235Z00000X | Speech-language Pathologist | 5297 (Wisconsin) | Secondary |
| 235Z00000X | Speech-language Pathologist | 5297-154 (Wisconsin) | Primary |
| Provider Name | Phyt Rehab Of Wisconsin Inc |
|---|---|
| Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
| Provider Identifiers | NPI Number: 1366965931 PECOS PAC ID: 5395122196 Enrollment ID: O20220517001830 |
| Mailing Address | Practice Location Address |
|---|---|
| Carmen Krug, SLP 300 Cheyenne Ct, Deforest, WI 53532-1007 Ph: (608) 516-3702 | Carmen Krug, SLP 300 Cheyenne Ct, Deforest, WI 53532-1007 Ph: (608) 516-3702 |
Allison Schumacher, Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 206 N Johnson St, Deforest, WI 53532 Phone: 608-842-6527 | |
Jennifer A Victor, Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 500 S Cleveland Ave, Deforest, WI 53532 Phone: 608-842-6500 | |
Aimee Shaw, Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 500 S Cleveland Ave, Deforest, WI 53532 Phone: 608-842-6500 | |
Amanda Wagner, Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: Dahs 815 Jefferson Street, Deforest, WI 53532 Phone: 608-516-1461 | |
Brittany Gierczic, Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 206 N Johnson St, Deforest, WI 53532 Phone: 608-842-6200 | |
Valerie Sherwood, Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 6902 Parkside Cir, Deforest, WI 53532 Phone: 608-846-2101 |