| Mr Nisanth Panicker, MS,CCC-SLP | |
|
920 12th Ave Se, Puyallup, WA 98372-4920 | |
| (253) 841-3422 | |
| (206) 445-4043 |
| Full Name | Mr Nisanth Panicker |
|---|---|
| Gender | Male |
| Speciality | Qualified Speech Language Pathologist |
| Experience | 26 Years |
| Location | 920 12th Ave Se, Puyallup, Washington |
| 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 |
|---|---|---|---|
| 1790944684 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 235Z00000X | Speech-language Pathologist | LL00004115 (Washington) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Fox Rehab Slp Fl Llc | 9638577125 | 22 |
| Provider Name | Fox Rehab Slp FL LLC |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1912577214 PECOS PAC ID: 9638577125 Enrollment ID: O20211014000396 |
| Provider Name | Qrm Plus Florida Slp LLC |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1184377566 PECOS PAC ID: 7315332855 Enrollment ID: O20220318000737 |
| Mailing Address | Practice Location Address |
|---|---|
| Mr Nisanth Panicker, MS,CCC-SLP 920 12th Ave Se, Puyallup, WA 98372-4920 Ph: (253) 841-3422 | Mr Nisanth Panicker, MS,CCC-SLP 920 12th Ave Se, Puyallup, WA 98372-4920 Ph: (253) 841-3422 |
Ms. Angela Farnsworth, MS, CCC-SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 214 W Main, Puyallup, WA 98371 Phone: 253-841-8700 |
Mrs. Amrita Nambiar, M.S., CCC-SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 920 12th Ave Se, Puyallup, WA 98372 Phone: 253-841-3422 |
Kaara Fairbanks, Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 2929 5th Ave Ne Ste A, Puyallup, WA 98372 Phone: 253-447-8216 |
Mrs. Nicole Malene Bosch, Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 214 W Main, Puyallup, WA 98371 Phone: 253-841-8700 |
Teletalk Speech Therapy Services Llc Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 17442 129th Ave E, Puyallup, WA 98374 Phone: 516-510-5963 |
Dana Welter, M.S., CCC-SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 10324 Canyon Rd E, Puyallup, WA 98373 Phone: 360-584-6918 |
Kristie L Gibney, MA CCC-SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 214 W Main, Puyallup, WA 98371 Phone: 253-841-8700 |