Mrs Tiann Rae Boggs, MA, CCC-SLP is a
Speech-language Pathologist based in Glenrock, Wyoming. Mrs Tiann Rae Boggs is licensed to practice in Wyoming (license number SP-618) and her current practice location is
614 S 1st St, Glenrock, Wyoming. She can be reached at her office (for appointments etc.) via phone at
(307) 337-7799.
NPI number for Mrs Tiann Rae Boggs is 1851738025 and her current mailing address is 12274 322nd Ave, Java, South Dakota. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1851738025.
Healthcare Provider's Profile
Full Name | Mrs Tiann Rae Boggs |
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Gender | Female |
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Speciality | Speech-language Pathologist |
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Location | 614 S 1st St, Glenrock, Wyoming |
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Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1851738025
- Provider Enumeration Date: 05/29/2013
- Last Update Date: 04/07/2020
Medical Identifiers
Medical identifiers for Mrs Tiann Rae Boggs such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1851738025 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
235Z00000X | Speech-language Pathologist | SP-618 (Wyoming) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Mrs Tiann Rae Boggs is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Mrs Tiann Rae Boggs, MA, CCC-SLP 12274 322nd Ave, Java, SD 57452 Ph: (605) 850-1172 | Mrs Tiann Rae Boggs, MA, CCC-SLP 614 S 1st St, Glenrock, WY 82637-2131 Ph: (307) 337-7799 |
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