| Mrs Kimberly Rae Bush, MS CCC SLP | |
|
588 Broad Street, Oneida, NY 13421 | |
| (315) 363-9281 | |
| (315) 363-9286 |
| Full Name | Mrs Kimberly Rae Bush |
|---|---|
| Gender | Female |
| Speciality | Qualified Speech Language Pathologist |
| Experience | 22 Years |
| Location | 588 Broad Street, Oneida, New York |
| 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 |
|---|---|---|---|
| 1447315643 | NPI | - | NPPES |
| 05800015085 | Medicaid | NY |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 235Z00000X | Speech-language Pathologist | 0150851 (New York) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Nysarc Inc. | 6608869193 | 15 |
| Provider Name | Nysarc Inc. |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1427113547 PECOS PAC ID: 6608869193 Enrollment ID: O20040408000675 |
| Mailing Address | Practice Location Address |
|---|---|
| Mrs Kimberly Rae Bush, MS CCC SLP 701 Lenox Ave, Oneida, NY 13421 Ph: (315) 363-9281 | Mrs Kimberly Rae Bush, MS CCC SLP 588 Broad Street, Oneida, NY 13421 Ph: (315) 363-9281 |
Rachel E Sayles, M.S.CCC-SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 565 Sayles St, Oneida, NY 13421 Phone: 315-363-2550 | |
Bernadette Chapman, CCC-SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 701 Lenox Ave, Oneida, NY 13421 Phone: 315-363-3397 | |
Leslie Mcglothlin Stockman, Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 565 Sayles St, Oneida, NY 13421 Phone: 315-363-2550 | |
Laurie J. Mutz, Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 337 Broad St, Oneida, NY 13421 Phone: 315-363-1840 | |
Mary Martin Domes, M.S., CCC-SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 701 Lenox Ave, Oneida, NY 13421 Phone: 315-363-3397 |