| Mrs Tracy Fate, MA, CCC-SLP | |
|
1908 W Milham Ave, Portage, MI 49024-1232 | |
| (269) 459-6212 | |
| Not Available |
| Full Name | Mrs Tracy Fate |
|---|---|
| Gender | Female |
| Speciality | Qualified Speech Language Pathologist |
| Experience | 24 Years |
| Location | 1908 W Milham Ave, Portage, Michigan |
| 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 |
|---|---|---|---|
| 1952819856 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 235Z00000X | Speech-language Pathologist | 7101000804 (Michigan) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Rehab Specialists, Llc | 9830324482 | 15 |
| Provider Name | Rehab Specialists, Llc |
|---|---|
| Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
| Provider Identifiers | NPI Number: 1366881005 PECOS PAC ID: 9830324482 Enrollment ID: O20131106001750 |
| Mailing Address | Practice Location Address |
|---|---|
| Mrs Tracy Fate, MA, CCC-SLP 1908 W Milham Ave, Portage, MI 49024-1232 Ph: (269) 459-6212 | Mrs Tracy Fate, MA, CCC-SLP 1908 W Milham Ave, Portage, MI 49024-1232 Ph: (269) 459-6212 |
Emilee Schaub, Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 3650 Fawn Cove Ln Apt 12, Portage, MI 49024 Phone: 616-402-9062 | |
Julia Mattern, CCC-SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 3951 W Milham Ave, Portage, MI 49024 Phone: 269-329-0200 | |
Jenna Kahila, CCC-SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: Po Box 223, Portage, MI 49081 Phone: 269-350-0458 | |
Mrs. Heidi Rebecca Thorpe, M.A. Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 8025 Moorsbridge Rd, Portage, MI 49024 Phone: 616-723-3895 | |
Elemental Speech Therapy Llc Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 10130 Shuman St, Portage, MI 49024 Phone: 248-761-7800 | |
Amanda Elise Waldron, MS SLP CCC Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 7855 Currier Dr, Portage, MI 49002 Phone: 269-323-7748 | |
William Humphrey, MACCC/SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 7855 Currier Dr, Portage, MI 49002 Phone: 269-323-7748 Fax: 269-323-1908 |