| Erika Vandenberg, | |
|
1530 Freedom Rd, Little Chute, WI 54140-1315 | |
| (920) 850-8814 | |
| Not Available |
| Full Name | Erika Vandenberg |
|---|---|
| Gender | Female |
| Speciality | Qualified Speech Language Pathologist |
| Experience | 11 Years |
| Location | 1530 Freedom Rd, Little Chute, Wisconsin |
| 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 |
|---|---|---|---|
| 1205210499 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 235Z00000X | Speech-language Pathologist | 4159-154 (Wisconsin) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Fox Rehabilitation Services Wi Llc | 1658647581 | 123 |
| Empowerme Rehabilitation Llc | 2769723162 | 419 |
| Provider Name | Fox Rehabilitation Services Wi Llc |
|---|---|
| Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
| Provider Identifiers | NPI Number: 1518483973 PECOS PAC ID: 1658647581 Enrollment ID: O20171020002309 |
| Mailing Address | Practice Location Address |
|---|---|
| Erika Vandenberg, 1530 Freedom Rd, Little Chute, WI 54140-1315 Ph: () - | Erika Vandenberg, 1530 Freedom Rd, Little Chute, WI 54140-1315 Ph: (920) 850-8814 |
Kelsey Hietpas, CCC-SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 1402 Freedom Rd, Little Chute, WI 54140 Phone: 920-788-7600 | |
Jessica Demerath, Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 901 Grand Ave, Little Chute, WI 54140 Phone: 920-788-7610 | |
Kristin Ann Jefcik, M.S, CCC-SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 901 Grand Ave, Little Chute, WI 54140 Phone: 920-788-7610 |