| Marlene Rerucha, | |
|
1560 Henthorne Dr, Maumee, OH 43537-1371 | |
| (419) 866-5275 | |
| Not Available |
| Full Name | Marlene Rerucha |
|---|---|
| Gender | Female |
| Speciality | Qualified Speech Language Pathologist |
| Experience | 22 Years |
| Location | 1560 Henthorne Dr, Maumee, Ohio |
| 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 |
|---|---|---|---|
| 1003106907 | NPI | - | NPPES |
| 1609899061 | Other | OH | CORPORATE NPI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 235Z00000X | Speech-language Pathologist | SP8352 (Ohio) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Aegis Group Practice Llc | 5193036432 | 399 |
| Aegis Group Practice Llc | 5193036432 | 399 |
| Provider Name | Aegis Group Practice LLC |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1093389751 PECOS PAC ID: 5193036432 Enrollment ID: O20210621000546 |
| Mailing Address | Practice Location Address |
|---|---|
| Marlene Rerucha, 1560 Henthorne Dr, Maumee, OH 43537-1371 Ph: (419) 866-5275 | Marlene Rerucha, 1560 Henthorne Dr, Maumee, OH 43537-1371 Ph: (419) 866-5275 |
Christine Drockton, MA CCC-SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 6008 N Chanticleer Dr, Maumee, OH 43537 Phone: 419-708-2501 |
Mrs. Kristen Lowenstein, M.A.CCC-SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 6935 Monclova Rd, Maumee, OH 43537 Phone: 419-866-3030 |
Mrs. Julie Lynn Peters, SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 6005 Monclova Rd, Maumee, OH 43537 Phone: 419-897-5751 |
Emily Elyse Miller, M.A.CCC SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 4121 King Road, Maumee, OH 43560 Phone: 419-517-8200 Fax: 419-517-8209 |
Ellen Mackowiak, SP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 1560 Henthorne Dr, Maumee, OH 43537 Phone: 419-866-5275 Fax: 419-866-5663 |
Ms. Elizabeth Kuehn, SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 1560 Henthorne Dr, Maumee, OH 43537 Phone: 419-866-5275 |
Susan Elizabeth Verner, M.ED., CCC-SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 1560 Henthorne Dr, Maumee, OH 43537 Phone: 419-866-5196 Fax: 419-866-5663 |