| Jennifer Medina, SLP | |
|
401 E Chase St Ste 200, Pensacola, FL 32502-6160 | |
| (850) 476-0628 | |
| Not Available |
| Full Name | Jennifer Medina |
|---|---|
| Gender | Female |
| Speciality | Speech-language Pathologist |
| Location | 401 E Chase St Ste 200, Pensacola, Florida |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1346846318 | NPI | - | NPPES |
| 12141814 | Other | ASHA | |
| SA11183 | Other | FL | STATE OF FL DEPT OF HEALTH |
| 8487 | Other | LA | LOUISIANA BOARD OF EXAMINERS |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 235Z00000X | Speech-language Pathologist | SA11183 (Florida) | Primary |
| Provider Name | Aegis Group Practice Llc |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1740720002 PECOS PAC ID: 5193036432 Enrollment ID: O20170720002185 |
| Mailing Address | Practice Location Address |
|---|---|
| Jennifer Medina, SLP 219 W Romana St, Pensacola, FL 32502-5723 Ph: (850) 602-1877 | Jennifer Medina, SLP 401 E Chase St Ste 200, Pensacola, FL 32502-6160 Ph: (850) 476-0628 |
Mrs. Nicole Christine Sherick, M.S. CCC-SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 10100 Hillview Dr, Pensacola, FL 32514 Phone: 850-478-5153 | |
Kindle Page, CCC-SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 1000 W Moreno St, Physical Therapy, Pensacola, FL 32501 Phone: 850-434-4971 | |
Daryla Jeanine Shakley, M.A., CCC/SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 413 Childers St, Pensacola, FL 32534 Phone: 623-256-7730 | |
Mr. Juan Suarez, CCC-SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 5120 Bayou Blvd, Suite 6, Pensacola, FL 32503 Phone: 413-246-1445 | |
Gulf Coast Speech Language Services, Pllc Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 5972 Dahoon Dr, Pensacola, FL 32526 Phone: 850-380-4063 | |
Mr. Michael John Zavison Ii, CCC-SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 6982 Pine Forest Rd, Pensacola, FL 32526 Phone: 850-750-5203 | |
Mrs. Barbara J Kahalley, ST Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 9400 University Pkwy, Baptist Medical Park, Pensacola, FL 32514 Phone: 850-208-6120 |