| Sally V Matchette, SLP | |
|
2450 Riverside Ave, Minneapolis, MN 55454-1450 | |
| (612) 672-6000 | |
| Not Available |
| Full Name | Sally V Matchette |
|---|---|
| Gender | Female |
| Speciality | Qualified Speech Language Pathologist |
| Experience | 26 Years |
| Location | 2450 Riverside Ave, Minneapolis, Minnesota |
| 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 |
|---|---|---|---|
| 1962598946 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 235Z00000X | Speech-language Pathologist | 7262 (Minnesota) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Aegis Group Practice Llc | 5193036432 | 399 |
| Provider Name | Aegis Group Practice LLC |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1417340126 PECOS PAC ID: 5193036432 Enrollment ID: O20150612001586 |
| Mailing Address | Practice Location Address |
|---|---|
| Sally V Matchette, SLP 9866 Kirkwood Ln N, Maple Grove, MN 55369-6602 Ph: Not Available | Sally V Matchette, SLP 2450 Riverside Ave, Minneapolis, MN 55454-1450 Ph: (612) 672-6000 |
Kristyne Bazinet, M.S., CCC-SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 5800 65th Ave N, Minneapolis, MN 55429 Phone: 763-533-0500 |
Beverly Michele Pilcher, MACCC-SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 3350 N 4th St, Minneapolis, MN 55412 Phone: 612-668-2295 Fax: 612-668-2280 |
Christine Chen, Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 1250 W Broadway Ave, Minneapolis, MN 55411 Phone: 612-668-0254 |
Abby Traun, SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 800 E 28th St, Mail Stop 12208, Minneapolis, MN 55407 Phone: 612-863-4447 |
Robert Adam Terrell Jr., MS, CCC-SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 800 E 28th St, Minneapolis, MN 55407 Phone: 612-863-4447 |
Wendy Lee, Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 1250 W Broadway Ave, Minneapolis, MN 55411 Phone: 612-668-0254 |
Sarah Kraning, M.S. CCC-SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 2450 Riverside Ave, Minneapolis, MN 55454 Phone: 612-273-3000 |