| Ms Karen Leslie Gaines, MA, CCC-SLP | |
|
624 Lou Ann St, Salem, VA 24153-3415 | |
| (540) 230-3298 | |
| Not Available |
| Full Name | Ms Karen Leslie Gaines |
|---|---|
| Gender | Female |
| Speciality | Qualified Speech Language Pathologist |
| Experience | 40 Years |
| Location | 624 Lou Ann St, Salem, Virginia |
| 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 |
|---|---|---|---|
| 1093019317 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 235Z00000X | Speech-language Pathologist | 2202003948 (Virginia) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Functional Pathways Preferred Of Tennessee Llc | 2860649654 | 104 |
| Provider Name | Functional Pathways Preferred Of Tennessee Llc |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1841561446 PECOS PAC ID: 2860649654 Enrollment ID: O20120830000086 |
| Mailing Address | Practice Location Address |
|---|---|
| Ms Karen Leslie Gaines, MA, CCC-SLP 624 Lou Ann St, Salem, VA 24153-3415 Ph: (540) 230-3298 | Ms Karen Leslie Gaines, MA, CCC-SLP 624 Lou Ann St, Salem, VA 24153-3415 Ph: (540) 230-3298 |
Ms. Laurel Colletti Riddle, MS, CCC/SLP Speech-Language Pathologist Medicare: May Accept Medicare Assignments Practice Location: 1970 Roanoke Blvd, Salem, VA 24153 Phone: 540-982-2463 Fax: 540-983-1038 | |
Mrs. April Ann Joachim, M.S. CCC-SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 6804 Fairway Ridge Rd, Salem, VA 24153 Phone: 757-621-9499 | |
Dr. Randy Jennings, CCC/SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 510 S College Ave, Salem, VA 24153 Phone: 540-389-0130 Fax: 540-389-3638 | |
Edie F Doherty, M.S. CCC-SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 1802 Braeburn Dr, Outpatient Neuro Clinic, Salem, VA 24153 Phone: 540-772-3770 Fax: 540-725-4565 | |
Ms. Christen Haig, M.ED. Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 201 E Main St, Salem, VA 24153 Phone: 540-375-2860 | |
Monica Lynn Perdue-johnson, M.S., CCC-SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 18 Upland Dr, Salem, VA 24153 Phone: 540-797-5243 |