| Kristin Lane Beninati, MS, CCC-SLP | |
|
211 N Market St, Sparta, IL 62286-2081 | |
| (618) 713-1876 | |
| Not Available |
| Full Name | Kristin Lane Beninati |
|---|---|
| Gender | Female |
| Speciality | Qualified Speech Language Pathologist |
| Experience | 7 Years |
| Location | 211 N Market St, Sparta, Illinois |
| 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 |
|---|---|---|---|
| 1376112037 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 235Z00000X | Speech-language Pathologist | 146014961 (Illinois) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Empowerme Rehabilitation Illinois Llc | 2365718277 | 334 |
| Provider Name | Empowerme Rehabilitation Illinois Llc |
|---|---|
| Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
| Provider Identifiers | NPI Number: 1679098263 PECOS PAC ID: 2365718277 Enrollment ID: O20171020001353 |
| Provider Name | Empowerme Wellness Kansas City Llc |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1174118103 PECOS PAC ID: 9830504836 Enrollment ID: O20210317001954 |
| Mailing Address | Practice Location Address |
|---|---|
| Kristin Lane Beninati, MS, CCC-SLP 502 S East St, Pinckneyville, IL 62274-1701 Ph: (618) 713-1876 | Kristin Lane Beninati, MS, CCC-SLP 211 N Market St, Sparta, IL 62286-2081 Ph: (618) 713-1876 |
Selina Alexandra Najim, M.S Speech-Language Pathologist Medicare: Medicare Enrolled Practice Location: 211 N Market St, Sparta, IL 62286 Phone: 815-458-5317 | |
Shea Petrowske, Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 203 Dean Ave, Sparta, IL 62286 Phone: 618-443-5331 | |
Ashley Suzanne Eggemeyer, MS CFY-SLP/L Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 9786 Rosewood Ln, Sparta, IL 62286 Phone: 618-615-3156 | |
Taylor Harbaugh, Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 203 Dean Ave, Sparta, IL 62286 Phone: 618-443-5331 | |
Adam J Vagner, Speech-Language Pathologist Medicare: May Accept Medicare Assignments Practice Location: 211 N Market St, Sparta, IL 62286 Phone: 618-443-2600 | |
Kaelyn Noelle Rubach, Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 203 Dean Ave, Sparta, IL 62286 Phone: 618-615-7932 |