| Courtney Provost, CCC-SLP | |
|
30 Wilson Rd, Williamsville, NY 14221-7026 | |
| (716) 856-4201 | |
| Not Available |
| Full Name | Courtney Provost |
|---|---|
| Gender | Female |
| Speciality | Qualified Speech Language Pathologist |
| Experience | 3 Years |
| Location | 30 Wilson Rd, Williamsville, New York |
| 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 |
|---|---|---|---|
| 1255915070 | NPI | - | NPPES |
| 06435267 | Medicaid | NY | |
| 07014708 | Medicaid | NY |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 235Z00000X | Speech-language Pathologist | (* (Not Available)) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Medical Practitioner Services Of Wny Pc | 2668864968 | 8 |
| People Inc | 3375457765 | 18 |
| Provider Name | People Inc |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1922073774 PECOS PAC ID: 3375457765 Enrollment ID: O20040203000739 |
| Provider Name | Aspire Of Western New York Inc |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1346337011 PECOS PAC ID: 6507759230 Enrollment ID: O20040205000682 |
| Provider Name | Medical Practitioner Services Of Wny Pc |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1376129015 PECOS PAC ID: 2668864968 Enrollment ID: O20220119000028 |
| Mailing Address | Practice Location Address |
|---|---|
| Courtney Provost, CCC-SLP 800 Hertel Ave Ste 101, Buffalo, NY 14207-1906 Ph: (716) 566-5050 | Courtney Provost, CCC-SLP 30 Wilson Rd, Williamsville, NY 14221-7026 Ph: (716) 856-4201 |
Meghan N Mckune, M.S.ED. Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 5544 Main St Fl 2, Williamsville, NY 14221 Phone: 716-580-3976 | |
Mrs. Patricia A. Rivera, M.S., CCC/SLP-L Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 80 Lawrence Bell Dr, Williamsville, NY 14221 Phone: 716-204-0355 | |
Mrs. Laurie Ann Gay, CCC-SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 4570 W Overlook Dr, Williamsville, NY 14221 Phone: 716-626-5234 | |
Miss Lesley Ann Hammer, MA, CCC, SLP/L Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 80 Lawrence Bell Dr, Williamsville, NY 14221 Phone: 716-204-0356 | |
Serena Elise Clay, Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 29 Patrice Ter, Williamsville, NY 14221 Phone: 716-697-8912 | |
Mrs. Jeanne Margaret Stiny, M.A.,CCC-SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 4444 Bryant Stratton Way, Williamsville, NY 14221 Phone: 716-631-5777 | |
Mrs. Carol Lynn Bigos, Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 1500 Maple Rd, Williamsville, NY 14221 Phone: 716-626-8800 |