| Lisa Marie Gum, MS,CCC/SLP | |
|
100 N Main St, Suffolk, VA 23434-4529 | |
| (757) 925-6764 | |
| Not Available |
| Full Name | Lisa Marie Gum |
|---|---|
| Gender | Female |
| Speciality | Qualified Speech Language Pathologist |
| Experience | 30 Years |
| Location | 100 N Main St, Suffolk, Virginia |
| 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 |
|---|---|---|---|
| 1689845109 | NPI | - | NPPES |
| 7402343000 | Medicaid | WV |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 235Z00000X | Speech-language Pathologist | (* (Not Available)) | Secondary |
| 235Z00000X | Speech-language Pathologist | (West Virginia) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Rww Outpatient Rehab Services, Llc | 8729333521 | 108 |
| Provider Name | Rww Outpatient Rehab Services, LLC |
|---|---|
| Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
| Provider Identifiers | NPI Number: 1447744461 PECOS PAC ID: 8729333521 Enrollment ID: O20181022003444 |
| Mailing Address | Practice Location Address |
|---|---|
| Lisa Marie Gum, MS,CCC/SLP 100 N Main St, Suffolk, VA 23434-4529 Ph: (757) 925-6764 | Lisa Marie Gum, MS,CCC/SLP 100 N Main St, Suffolk, VA 23434-4529 Ph: (757) 925-6764 |
Devin Connors, Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 5833 Harbour View Blvd, Suffolk, VA 23435 Phone: 757-455-5000 |
Ellen Elisabeth Silva, CCC-SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 150 Pioneer Rd, Suffolk, VA 23437 Phone: 757-925-5782 |
Physical Therapy Works, Inc. Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 2007 Meade Pkwy, Suffolk, VA 23434 Phone: 757-539-6300 Fax: 757-539-0704 |
Margaret Schneebeli, Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 1001 Centerbrooke Ln, Suffolk, VA 23434 Phone: 757-774-5600 |
Mrs. Kathryn Minga Harrington, CCC-SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 6701 Respass Beach Rd, Suffolk, VA 23435 Phone: 757-641-5777 |
Shawn Vierkant, CCC-SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 1001 Centerbrooke Ln Ste 103, Suffolk, VA 23434 Phone: 757-774-5600 Fax: 757-216-1141 |
Ms. Sherry Wynette Harper, M.ED. Speech-Language Pathologist Medicare: May Accept Medicare Assignments Practice Location: 100 N Main St, Suffolk, VA 23434 Phone: 757-925-6752 |