| Mrs Susannah Grovenor, SLP | |
|
2064b Walton Dr, Jackson, MO 63755-3701 | |
| (573) 204-0429 | |
| (573) 204-0471 |
| Full Name | Mrs Susannah Grovenor |
|---|---|
| Gender | Female |
| Speciality | Qualified Speech Language Pathologist |
| Experience | 12 Years |
| Location | 2064b Walton Dr, Jackson, 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 |
|---|---|---|---|
| 1972217651 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 235Z00000X | Speech-language Pathologist | 2019015649 (Missouri) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Empowerme Rehabilitation Illinois Llc | 2365718277 | 361 |
| Provider Name | Empowerme Rehabilitation Illinois LLC |
|---|---|
| Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
| Provider Identifiers | NPI Number: 1679098263 PECOS PAC ID: 2365718277 Enrollment ID: O20171020001353 |
| Provider Name | Empowerme Wellness Kansas City LLC |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1174118103 PECOS PAC ID: 9830504836 Enrollment ID: O20210317001954 |
| Mailing Address | Practice Location Address |
|---|---|
| Mrs Susannah Grovenor, SLP 2064b Walton Dr, Jackson, MO 63755-3701 Ph: (573) 204-0429 | Mrs Susannah Grovenor, SLP 2064b Walton Dr, Jackson, MO 63755-3701 Ph: (573) 204-0429 |
Dr. Carol Sue Ludwig, PHD CCC SP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 215 West Main, Jackson, MO 63755 Phone: 573-204-0490 Fax: 573-204-0009 |
Lori Obermann, Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 614 E Adams St, Jackson, MO 63755 Phone: 573-243-9599 |
Bryn Elizabeth Meyr, Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 1701 S Hope St, Jackson, MO 63755 Phone: 573-243-9575 |
Lacy Bucher, Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 1502 W Jackson Blvd, Jackson, MO 63755 Phone: 573-576-2276 |
Cassandra Bollinger, Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 614 E Adams St, Jackson, MO 63755 Phone: 573-243-9501 |
Mr. Jake Ryan Partridge, M.S. SLP-CCC Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 21257 Hwy 177, Jackson, MO 63755 Phone: 618-599-8558 |
Kortney Leeann Scoggins, Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 1502 W Jackson Blvd, Jackson, MO 63755 Phone: 573-587-2520 Fax: 573-243-3413 |