| Mikaela Pender, MA CCC-SLP | |
|
2137 William St, Cape Girardeau, MO 63703-5817 | |
| (573) 803-3338 | |
| (844) 579-0089 |
| Full Name | Mikaela Pender |
|---|---|
| Gender | Female |
| Speciality | Qualified Speech Language Pathologist |
| Experience | 3 Years |
| Location | 2137 William St, Cape Girardeau, Missouri |
| 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 |
|---|---|---|---|
| 1053142521 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 235Z00000X | Speech-language Pathologist | 2022033265 (Missouri) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Elite Dysphagia Diagnostics And Speech Services, Llc | 8527491760 | 4 |
| Provider Name | Elite Dysphagia Diagnostics & Speech Services, Llc |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1184280729 PECOS PAC ID: 8527491760 Enrollment ID: O20191203000530 |
| Mailing Address | Practice Location Address |
|---|---|
| Mikaela Pender, MA CCC-SLP 2137 William St, Cape Girardeau, MO 63703-5817 Ph: (573) 803-3338 | Mikaela Pender, MA CCC-SLP 2137 William St, Cape Girardeau, MO 63703-5817 Ph: (573) 803-3338 |
Jackie A. Jones, CCC-SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 3433 Glenview Dr, Cape Girardeau, MO 63701 Phone: 573-335-8010 | |
Christina Bruenderman, Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 1825 Margaret St, Cape Girardeau, MO 63701 Phone: 573-270-2791 | |
Rachel Hearnes August, Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 1910 Grandview Dr, Cape Girardeau, MO 63701 Phone: 573-233-5481 | |
Audrey Farnham, CF-SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 1910 Whitener St, Cape Girardeau, MO 63701 Phone: 573-334-2923 | |
Lauren Elizabeth Haney, MA, CF-SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 611 N Fountain St, Cape Girardeau, MO 63701 Phone: 573-986-4985 | |
Julie Spooler, M.A.,CCC-SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 2561 Cobblestone Ct, Cape Girardeau, MO 63701 Phone: 573-335-9182 |