| Gretchen Hoffman, MS, CCC-SLP | |
|
N84w16889 Menomonee Ave, Menomonee Falls, WI 53051-2810 | |
| (262) 250-1870 | |
| Not Available |
| Full Name | Gretchen Hoffman |
|---|---|
| Gender | Female |
| Speciality | Speech-language Pathologist |
| Location | N84w16889 Menomonee Ave, Menomonee Falls, Wisconsin |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1902471121 | NPI | - | NPPES |
| 100296924 | Medicaid | WI | |
| 14059477 | Other | WI | ASHA LICENSE NUMBER |
| 4031-154 | Other | WI | STATE SPEECH THERAPY LICENSE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 235Z00000X | Speech-language Pathologist | 4031-154 (Wisconsin) | Primary |
| Provider Name | Aurora Medical Group, Inc. |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1427271378 PECOS PAC ID: 6709794258 Enrollment ID: O20031105000725 |
| Provider Name | Lakeshore Medical Clinic Llc |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1003861188 PECOS PAC ID: 7719890730 Enrollment ID: O20031106000481 |
| Provider Name | Aurora Advanced Healthcare, Inc. |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1265629133 PECOS PAC ID: 3375625833 Enrollment ID: O20080123000694 |
| Mailing Address | Practice Location Address |
|---|---|
| Gretchen Hoffman, MS, CCC-SLP Po Box 735044, Chicago, IL 60673-5044 Ph: (800) 326-2250 | Gretchen Hoffman, MS, CCC-SLP N84w16889 Menomonee Ave, Menomonee Falls, WI 53051-2810 Ph: (262) 250-1870 |
Ashley Polomis, MS, CCC-SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: N84w16889 Menomonee Ave, Menomonee Falls, WI 53051 Phone: 262-251-7500 | |
Mr. Kenneh J Heeschen, SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: N84w17049 Menomonee Ave, Menomonee Falls, WI 53051 Phone: 262-255-1180 | |
Natalie Grace Schaller, MS SLP CCC Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: N84w16889 Menomonee Ave, Menomonee Falls, WI 53051 Phone: 262-251-7500 Fax: 262-532-1396 | |
Nicole Girolami, Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: N84w17049 Menomonee Ave, Menomonee Falls, WI 53051 Phone: 262-255-7055 Fax: 262-255-1638 | |
Kristin Drews, SLP Speech-Language Pathologist Medicare: Accepting Medicare Assignments Practice Location: N84w16889 Menomonee Ave, Menomonee Falls, WI 53051 Phone: 262-251-7500 | |
Mrs. Kristi Karin Magoon, MA, CCC-SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: N51w15744 Fair Oak Pkwy, Menomonee Falls, WI 53051 Phone: 262-783-6756 | |
Caitlyn M Gunzel, SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: N84w16889 Menomonee Ave, Menomonee Falls, WI 53051 Phone: 262-251-7500 |