| Kennedy Weiland, | |
|
501 W Havens Ave, Suite 103, Mitchell, SD 57301-4366 | |
| (605) 995-6044 | |
| (605) 995-6044 |
| Full Name | Kennedy Weiland |
|---|---|
| Gender | Female |
| Speciality | Qualified Speech Language Pathologist |
| Experience | 10 Years |
| Location | 501 W Havens Ave, Mitchell, South Dakota |
| 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 |
|---|---|---|---|
| 1396121125 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 235Z00000X | Speech-language Pathologist | 593-PROV (South Dakota) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Avera Queen Of Peace | 9335050806 | 105 |
| Provider Name | Avera Queen Of Peace |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1205359031 PECOS PAC ID: 9335050806 Enrollment ID: O20031229000301 |
| Mailing Address | Practice Location Address |
|---|---|
| Kennedy Weiland, Po Box 1284, Mitchell, SD 57301-7284 Ph: (605) 995-6044 | Kennedy Weiland, 501 W Havens Ave, Suite 103, Mitchell, SD 57301-4366 Ph: (605) 995-6044 |
Kari Pommer, Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 110 N Mentzer St, Mitchell, SD 57301 Phone: 605-995-3021 | |
Stacy Rae Thomsen, MA,CCC/SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 40460 254th St, Mitchell, SD 57301 Phone: 605-996-2899 Fax: 605-996-0721 | |
Kristi Driscoll, Speech-Language Pathologist Medicare: May Accept Medicare Assignments Practice Location: 1023 Palmer Pl, Mitchell, SD 57301 Phone: 605-660-6110 | |
Donna Denure, Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 110 N Mentzer St, Mitchell, SD 57301 Phone: 605-995-3021 | |
Olivia Thompson, M.A., CF-SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 821 N. Capital St., Mitchell, SD 57301 Phone: 605-995-7502 Fax: 605-995-3084 | |
Laura Joyce Davis, MA, CCC-SLP Speech-Language Pathologist Medicare: Medicare Enrolled Practice Location: 500 S Ohlman St, Mitchell, SD 57301 Phone: 605-996-7701 | |
Karin R Larson, MA-CCC/SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 501 W Havens Ave, Suite 103, Mitchell, SD 57301 Phone: 605-995-6044 Fax: 605-995-6044 |