| Michael Wyvratt, | |
|
201 Wood St, Sistersville, WV 26175-1523 | |
| (304) 652-1032 | |
| Not Available |
| Full Name | Michael Wyvratt |
|---|---|
| Gender | Male |
| Speciality | Qualified Speech Language Pathologist |
| Experience | 12 Years |
| Location | 201 Wood St, Sistersville, West Virginia |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1679974265 | NPI | - | NPPES |
| 013444700 | Medicaid | FL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 235Z00000X | Speech-language Pathologist | SZ6876 (Florida) | Secondary |
| 235Z00000X | Speech-language Pathologist | SLP-2379 (West Virginia) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Paragon Outpatient Rehabilitation Services Llc | 8022272848 | 199 |
| Provider Name | Paragon Outpatient Rehabilitation Services LLC |
|---|---|
| Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
| Provider Identifiers | NPI Number: 1871867325 PECOS PAC ID: 8022272848 Enrollment ID: O20220822000895 |
| Mailing Address | Practice Location Address |
|---|---|
| Michael Wyvratt, 11283 Riddle Dr, Spring Hill, FL 34609-3441 Ph: (724) 880-0818 | Michael Wyvratt, 201 Wood St, Sistersville, WV 26175-1523 Ph: (304) 652-1032 |
Linda Liebold, Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 1993 Silver Knight Dr, Sistersville, WV 26175 Phone: 304-758-2145 |
Camryn Marie Clegg, Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 201 Wood St, Sistersville, WV 26175 Phone: 304-652-1032 |
Amy Lynch, CCC-SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 201 Wood St, Sistersville, WV 26175 Phone: 304-652-1032 |
Stephanie Brown, Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 1993 Silver Knight Dr, Sistersville, WV 26175 Phone: 304-485-6513 |
Alexandra Dieringer, Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 1993 Silver Knight Dr, Sistersville, WV 26175 Phone: 304-758-2145 |