| Ms Mary Frank Riordan, MS CCC/SLP | |
|
321 Riverside Drive, Pewaukee, WI 53072-6214 | |
| (262) 691-2300 | |
| (262) 691-2184 |
| Full Name | Ms Mary Frank Riordan |
|---|---|
| Gender | Female |
| Speciality | Qualified Speech Language Pathologist |
| Experience | 36 Years |
| Location | 321 Riverside Drive, Pewaukee, Wisconsin |
| 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 |
|---|---|---|---|
| 1538317862 | NPI | - | NPPES |
| 42708000 | Medicaid | WI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 235Z00000X | Speech-language Pathologist | 298-154 (Wisconsin) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Fox Rehabilitation Services Wi Llc | 1658647581 | 123 |
| Provider Name | Fox Rehabilitation Services Wi Llc |
|---|---|
| Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
| Provider Identifiers | NPI Number: 1518483973 PECOS PAC ID: 1658647581 Enrollment ID: O20171020002309 |
| Mailing Address | Practice Location Address |
|---|---|
| Ms Mary Frank Riordan, MS CCC/SLP 321 Riverside Dr, Pewaukee, WI 53072-4612 Ph: (262) 691-2300 | Ms Mary Frank Riordan, MS CCC/SLP 321 Riverside Drive, Pewaukee, WI 53072-6214 Ph: (262) 691-2300 |
Kathryn Anne Bruflat, MS-CCC-SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 321 Riverside Dr, Pewaukee, WI 53072 Phone: 262-691-2300 Fax: 262-691-6256 | |
Kathleen Levenhagen, Speech-Language Pathologist Medicare: Medicare Enrolled Practice Location: 1284 Lake Park Dr, Pewaukee, WI 53072 Phone: 262-695-4496 | |
Miss Doreen Alice Hackbarth, SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: W244n2780 Single Tree Dr, Pewaukee, WI 53072 Phone: 414-695-8039 | |
Ruth Katula, Speech-Language Pathologist Medicare: Medicare Enrolled Practice Location: 321 Riverside Dr, Pewaukee, WI 53072 Phone: 262-691-2300 Fax: 262-691-2184 | |
Mrs. Angela Dorff, MS CCC/SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: N47w27181 Green Hill Dr, Pewaukee, WI 53072 Phone: 262-695-1786 | |
Mrs. Robin Jolene Hicks, SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: N41w22672 Sunder Creek Dr, Pewaukee, WI 53072 Phone: 815-499-2744 |