Elizabeth Ann Bohannon, is a
Speech-language Pathologist based in Lewistown, Illinois. Elizabeth Ann Bohannon is licensed to practice in Illinois (license number 146006726) and her current practice location is
16358 E Lakeview Ln, Lewistown, Illinois. She can be reached at her office (for appointments etc.) via phone at
(309) 547-2677.
NPI number for Elizabeth Ann Bohannon is 1063930030 and her current mailing address is 16358 E Lakeview Ln, Lewistown, Illinois. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1063930030.
Healthcare Provider's Profile
| Full Name | Elizabeth Ann Bohannon |
|---|
| Gender | Female |
|---|
| Speciality | Speech-language Pathologist |
|---|
| Location | 16358 E Lakeview Ln, Lewistown, Illinois |
|---|
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1063930030
- Provider Enumeration Date: 08/30/2017
- Last Update Date: 07/21/2022
Medical Identifiers
Medical identifiers for Elizabeth Ann Bohannon such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
| 1063930030 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
| 235Z00000X | Speech-language Pathologist | 146006726 (Illinois) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Elizabeth Ann Bohannon is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
Elizabeth Ann Bohannon, 16358 E Lakeview Ln, Lewistown, IL 61542-9268 Ph: (309) 547-2677 | Elizabeth Ann Bohannon, 16358 E Lakeview Ln, Lewistown, IL 61542-9268 Ph: (309) 547-2677 |
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