| Jessica Rae Eberhart, MS CCC-SLP | |
|
622 Hawkins Ave, Lake Ronkonkoma, NY 11779-2374 | |
| (631) 240-3579 | |
| Not Available |
| Full Name | Jessica Rae Eberhart |
|---|---|
| Gender | Female |
| Speciality | Qualified Speech Language Pathologist |
| Experience | 7 Years |
| Location | 622 Hawkins Ave, Lake Ronkonkoma, New York |
| 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 |
|---|---|---|---|
| 1649819392 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 235Z00000X | Speech-language Pathologist | (New York) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Expressable Therapy Pc | 0042698136 | 47 |
| Provider Name | Expressable Therapy Pc |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1134875370 PECOS PAC ID: 0042698136 Enrollment ID: O20230201002420 |
| Mailing Address | Practice Location Address |
|---|---|
| Jessica Rae Eberhart, MS CCC-SLP 115 Virginia Ave, Lake Grove, NY 11755-2824 Ph: () - | Jessica Rae Eberhart, MS CCC-SLP 622 Hawkins Ave, Lake Ronkonkoma, NY 11779-2374 Ph: (631) 240-3579 |
Keirstin Glynn, Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 622 Hawkins Ave, Lake Ronkonkoma, NY 11779 Phone: 631-240-3579 | |
Alyssandra Michelle O'connell, MS Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 624 Hawkins Ave, Lake Ronkonkoma, NY 11779 Phone: 631-240-3579 | |
Sophia Weissman, Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 624 Hawkins Ave, Lake Ronkonkoma, NY 11779 Phone: 631-240-3579 | |
Miss Kristin Johanna Schoenhofen, M.S., CCC-SLP, TSSLD Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 624 Hawkins Ave, Lake Ronkonkoma, NY 11779 Phone: 163-124-0357 | |
Grace Marie Napolitano, Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 624 Hawkins Ave, Lake Ronkonkoma, NY 11779 Phone: 631-240-3579 | |
Carmen Michela Crocitto, Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 624 Hawkins Ave, Lake Ronkonkoma, NY 11779 Phone: 631-240-3579 Fax: 631-389-2644 | |
Alisha Hailey Marine, Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 624 Hawkins Ave, Lake Ronkonkoma, NY 11779 Phone: 631-240-3579 |