| Michele Todtfeld, | |
|
10000 W 75th St Ste 121, Shawnee Mission, KS 66204-2241 | |
| (913) 362-7518 | |
| (913) 362-7302 |
| Full Name | Michele Todtfeld |
|---|---|
| Gender | Female |
| Speciality | Speech-language Pathologist |
| Location | 10000 W 75th St Ste 121, Shawnee Mission, Kansas |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1295745123 | NPI | - | NPPES |
| 465062503 | Medicaid | MO |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 235Z00000X | Speech-language Pathologist | 100471 (Missouri) | Secondary |
| 235Z00000X | Speech-language Pathologist | 1888 (Kansas) | Primary |
| Provider Name | Deborah A King Ma & Associates Inc |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1942408950 PECOS PAC ID: 9931091485 Enrollment ID: O20040329000602 |
| Mailing Address | Practice Location Address |
|---|---|
| Michele Todtfeld, 10000 W 75th St Ste 121, Shawnee Mission, KS 66204-2241 Ph: (913) 362-7518 | Michele Todtfeld, 10000 W 75th St Ste 121, Shawnee Mission, KS 66204-2241 Ph: (913) 362-7518 |
Samantha Hance, Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 10000 W 75th St Ste 121, Shawnee Mission, KS 66204 Phone: 913-362-7518 Fax: 913-362-7302 | |
Andrea Onnen, SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 10000 W. 75th Street, Suite 121, Shawnee Mission, KS 66204 Phone: 913-362-7518 | |
Norma Kendrick, Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 10000 W 75th St Ste 121, Shawnee Mission, KS 66204 Phone: 913-362-7518 Fax: 913-362-7302 | |
Karen Hetrick, Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 10000 W 75th St Ste 121, Shawnee Mission, KS 66204 Phone: 913-362-7518 Fax: 913-362-7302 | |
Mary Ellen Lubow, Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 10000 W 75th St Ste 121, Shawnee Mission, KS 66204 Phone: 913-362-7518 Fax: 913-362-7302 | |
Denise Treece, Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 10000 W 75th St Ste 121, Shawnee Mission, KS 66204 Phone: 913-362-7518 Fax: 913-362-7302 |