| Derek James Knoth, | |
|
320 E Central Ave, Zeeland, MI 49464-1706 | |
| (616) 772-9191 | |
| Not Available |
| Full Name | Derek James Knoth |
|---|---|
| Gender | Male |
| Speciality | Qualified Speech Language Pathologist |
| Experience | 8 Years |
| Location | 320 E Central Ave, Zeeland, Michigan |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1730644907 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 235Z00000X | Speech-language Pathologist | 7101005757 (Michigan) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Fox Rehabilitation Services Mi Llc | 2769819960 | 73 |
| Provider Name | Fox Rehabilitation Services Mi Llc |
|---|---|
| Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
| Provider Identifiers | NPI Number: 1790324648 PECOS PAC ID: 2769819960 Enrollment ID: O20200228000658 |
| Mailing Address | Practice Location Address |
|---|---|
| Derek James Knoth, 5880 Canal Ave Sw, Wyoming, MI 49418-9372 Ph: (616) 250-1029 | Derek James Knoth, 320 E Central Ave, Zeeland, MI 49464-1706 Ph: (616) 772-9191 |
Mrs. Jami Michelle Petersen, MA, CCC-SLP Speech-Language Pathologist Medicare: Medicare Enrolled Practice Location: 400 S State St Ste 100, Zeeland, MI 49464 Phone: 616-772-1370 Fax: 616-772-9774 | |
Michelle Konynenbelt, Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 8900 Mica Dr, Zeeland, MI 49464 Phone: 616-405-6653 | |
Lakeshore Speech Services, Llc Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 8900 Mica Dr, Zeeland, MI 49464 Phone: 616-405-6653 | |
Martha Veldkamp, Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 8333 Felch St, Zeeland, MI 49464 Phone: 616-772-4644 | |
Josilyn Vandewaa, MA CCC-SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 320 E Central Ave, Zeeland, MI 49464 Phone: 616-772-9191 | |
Kristen Van De Riet, Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 10263 Chicago Dr, Zeeland, MI 49464 Phone: 616-422-0922 |