| Kristina Fiscus, | |
|
7727 Portland Ave, Richfield, MN 55423-4320 | |
| (612) 861-1691 | |
| Not Available |
| Full Name | Kristina Fiscus |
|---|---|
| Gender | Female |
| Speciality | Speech-language Pathologist |
| Location | 7727 Portland Ave, Richfield, Minnesota |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1205483948 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 235Z00000X | Speech-language Pathologist | (* (Not Available)) | Primary |
| Provider Name | Odom Sports Medicine Pa |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1275557886 PECOS PAC ID: 0143485607 Enrollment ID: O20120706000533 |
| Mailing Address | Practice Location Address |
|---|---|
| Kristina Fiscus, 3317 Fremont Ave S Apt 4, Minneapolis, MN 55408-3548 Ph: (920) 284-7403 | Kristina Fiscus, 7727 Portland Ave, Richfield, MN 55423-4320 Ph: (612) 861-1691 |
Mrs. Letty Lee Faller, MS,CCC-SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 2400 W 64th St, Richfield, MN 55423 Phone: 612-798-8329 Fax: 612-861-6050 | |
Marianne Cartwright, M.S., CCC-SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 2400 W 64th St, Richfield, MN 55423 Phone: 612-767-7904 | |
Kelly Schmidt, MA, CCC-SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 6745 Newton Ave S, Richfield, MN 55423 Phone: 612-270-4788 | |
Makenzie Yankovich, CCC-SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 2400 W 64th St, Richfield, MN 55423 Phone: 612-861-1688 | |
Jennifer Jordan Gibson, M.A., CCC-SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 2400 W 64th St, Richfield, MN 55423 Phone: 612-767-7958 | |
Maria Ann Hone, M.S.CCC-SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 7727 Portland Ave, Richfield, MN 55423 Phone: 612-861-1691 |