| Cornisa Marie Abeyta-gaxiola, | |
|
3749 E 190 N, Rigby, ID 83442-5623 | |
| (208) 252-4074 | |
| Not Available |
| Full Name | Cornisa Marie Abeyta-gaxiola |
|---|---|
| Gender | Female |
| Speciality | Speech-language Pathologist |
| Location | 3749 E 190 N, Rigby, Idaho |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1669882353 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 235Z00000X | Speech-language Pathologist | SLP 2098 (Idaho) | Primary |
| Provider Name | Wind River Family & Community Health Care |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1285006379 PECOS PAC ID: 1850683780 Enrollment ID: O20160713000531 |
| Mailing Address | Practice Location Address |
|---|---|
| Cornisa Marie Abeyta-gaxiola, 3749 E 190 N, Rigby, ID 83442-5623 Ph: (208) 252-4074 | Cornisa Marie Abeyta-gaxiola, 3749 E 190 N, Rigby, ID 83442-5623 Ph: (208) 252-4074 |
Alissa Mcminn, MS CCC-SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 150 Main Street, Box 10, Rigby, ID 83442 Phone: 208-745-7101 | |
Jenny L Johnson, MS, CCC-SLP Speech-Language Pathologist Medicare: Medicare Enrolled Practice Location: 152 E Main St, Suite 110, Rigby, ID 83442 Phone: 208-745-7101 Fax: 208-745-0068 | |
James Jones, Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 3993 E 460 N, Rigby, ID 83442 Phone: 208-313-5289 | |
Laurie Ann Bowcutt, SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 4667 E 100 N, Rigby, ID 83442 Phone: 208-881-6863 | |
Laura Tavenner, Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 3421 E 200 N, Rigby, ID 83442 Phone: 208-709-3610 | |
Lindsay Winger, Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 152 E Maint St., #110, Rigby, ID 83442 Phone: 208-745-7101 |