| Shannon Hentrup, | |
|
303 N Hurstbourne Pkwy Ste 200, Louisville, KY 40222-5158 | |
| (502) 412-5847 | |
| Not Available |
| Full Name | Shannon Hentrup |
|---|---|
| Gender | Female |
| Speciality | Qualified Speech Language Pathologist |
| Experience | 3 Years |
| Location | 303 N Hurstbourne Pkwy Ste 200, Louisville, Kentucky |
| 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 |
|---|---|---|---|
| 1710615919 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 235Z00000X | Speech-language Pathologist | 46004164A (Indiana) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Paragon Outpatient Rehabilitation Services Llc | 8022272848 | 166 |
| Provider Name | Paragon Outpatient Rehabilitation Services, Llc |
|---|---|
| Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
| Provider Identifiers | NPI Number: 1871867325 PECOS PAC ID: 8022272848 Enrollment ID: O20180926000250 |
| Mailing Address | Practice Location Address |
|---|---|
| Shannon Hentrup, 621 E 20th St, Ferdinand, IN 47532-9220 Ph: (812) 639-7745 | Shannon Hentrup, 303 N Hurstbourne Pkwy Ste 200, Louisville, KY 40222-5158 Ph: (502) 412-5847 |
Samantha Hii, Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 2701 Chestnut Station Ct, Louisville, KY 40299 Phone: 800-335-1060 | |
Mrs. Lauren Elizabeth Ewing, Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 2701 Chestnut Station Ct, Paragon Rehabilitation, Louisville, KY 40299 Phone: 800-335-1060 | |
Laura Kaye Hamdani, M.A., CCC-SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 2701 Chestnut Station Ct, Louisville, KY 40299 Phone: 800-335-1060 | |
Amy L Scott, M.S.,CCC-SLP Speech-Language Pathologist Medicare: Accepting Medicare Assignments Practice Location: 2701 Chestnut Station Ct, Louisville, KY 40299 Phone: 800-335-1060 | |
Stephanie Jill Dyer, CCC-SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 3920 Dutchmans Ln, Louisville, KY 40207 Phone: 502-259-6608 | |
Kymberly Jean Pennington, Speech-Language Pathologist Medicare: Medicare Enrolled Practice Location: 2701 Chestnut Station Ct, Louisville, KY 40299 Phone: 800-335-1060 | |
Joyce M Wooldridge, MS CCC-SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 1410 Long Run Rd, Louisville, KY 40245 Phone: 502-244-8011 |