| Katie A Debicki, SLP | |
|
3222 Mishawaka Ave, South Bend, IN 46615-2352 | |
| (574) 255-8730 | |
| Not Available |
| Full Name | Katie A Debicki |
|---|---|
| Gender | Female |
| Speciality | Qualified Speech Language Pathologist |
| Experience | 18 Years |
| Location | 3222 Mishawaka Ave, South Bend, Indiana |
| 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 |
|---|---|---|---|
| 1033391412 | NPI | - | NPPES |
| 300037606 | Medicaid | IN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 235Z00000X | Speech-language Pathologist | 242000708 (Illinois) | Secondary |
| 235Z00000X | Speech-language Pathologist | 22004936A (Indiana) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Concept Therapy Professional Corporation | 8123117876 | 3 |
| Provider Name | Concept Therapy Professional Corporation |
|---|---|
| Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
| Provider Identifiers | NPI Number: 1497824577 PECOS PAC ID: 8123117876 Enrollment ID: O20071203000365 |
| Mailing Address | Practice Location Address |
|---|---|
| Katie A Debicki, SLP 524 E Mckinley Ave, Ste 1, Mishawaka, IN 46545-6285 Ph: (574) 255-8730 | Katie A Debicki, SLP 3222 Mishawaka Ave, South Bend, IN 46615-2352 Ph: (574) 255-8730 |
Alisha Plunkett Springle, PHD, CCC-SLP, BCS-CL Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 2411 Harwood St, South Bend, IN 46614 Phone: 937-638-1130 | |
Jennifer Marie Maskulinski, MA, CCC-SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 801 E Lasalle Ave, South Bend, IN 46617 Phone: 574-237-7845 Fax: 574-472-6294 | |
Sunnyside Pediatric Therapy Llc Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 1329 Wayne St S, South Bend, IN 46615 Phone: 847-284-4984 | |
Rebecca Shultz, MS, CCC-SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 227 S Main St Ste 100, South Bend, IN 46601 Phone: 847-284-4294 Fax: 574-544-5977 | |
Ms. Christina B. Faulkner, MA-CCC-SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 2012 Ironwood Cir, South Bend, IN 46635 Phone: 574-273-2743 | |
Micayla M Gebby, CCC-SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 2505 E Jefferson Blvd, South Bend, IN 46615 Phone: 574-289-4831 |