| Carolyn Wade, CCC-SLP | |
|
2631 E Discovery Pkwy, Bloomington, IN 47408-9059 | |
| (812) 856-0856 | |
| (866) 981-1874 |
| Full Name | Carolyn Wade |
|---|---|
| Gender | Female |
| Speciality | Qualified Speech Language Pathologist |
| Experience | 12 Years |
| Location | 2631 E Discovery Pkwy, Bloomington, Indiana |
| 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 |
|---|---|---|---|
| 1891128047 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 235Z00000X | Speech-language Pathologist | 22006047A (Indiana) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Indiana University | 6002806957 | 62 |
| Provider Name | Indiana University |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1982693743 PECOS PAC ID: 6002806957 Enrollment ID: O20160419002338 |
| Mailing Address | Practice Location Address |
|---|---|
| Carolyn Wade, CCC-SLP 2631 E Discovery Pkwy, Bloomington, IN 47408-9059 Ph: (812) 856-0856 | Carolyn Wade, CCC-SLP 2631 E Discovery Pkwy, Bloomington, IN 47408-9059 Ph: (812) 856-0856 |
Daniel Fogerty, SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 725 N Bell Trace Cir, Bloomington, IN 47408 Phone: 812-323-2858 | |
Dara Sides, Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 1531 W Leighton Ln, Bloomington, IN 47403 Phone: 812-219-2508 | |
Darbi Haug, Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 5637 W Tensleep Rd, Bloomington, IN 47403 Phone: 844-221-7016 | |
Ms. Bettina R Manuel, CCC-SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 3021 E Tapps Turn, Bloomington, IN 47401 Phone: 812-322-7771 Fax: 812-855-5561 | |
Ms. Melanie Jill Mazur, CCC-SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 200 S Jordan Ave, Bloomington, IN 47405 Phone: 812-855-3605 | |
Lillian Martindale, Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 443 S Landmark Ave, Bloomington, IN 47403 Phone: 812-676-7000 | |
Doreen Dotlich Devitt, Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 1100 S Curry Pike, Bloomington, IN 47403 Phone: 812-330-6700 |