| Stephanie Kirk, | |
|
602 Vonderburg Dr, Suite 201, Brandon, FL 33511-5900 | |
| (813) 653-1149 | |
| (813) 654-6644 |
| Full Name | Stephanie Kirk |
|---|---|
| Gender | Female |
| Speciality | Speech-language Pathologist |
| Location | 602 Vonderburg Dr, Brandon, Florida |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1144649096 | NPI | - | NPPES |
| 014451400 | Medicaid | FL | |
| 010872500 | Medicaid | FL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 235Z00000X | Speech-language Pathologist | SZ6219 (Florida) | Primary |
| 222Q00000X | Developmental Therapist | (* (Not Available)) | Secondary |
| Provider Name | Texas Children's Health Plan - The Center |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1437495835 PECOS PAC ID: 5294973673 Enrollment ID: O20130523000676 |
| Mailing Address | Practice Location Address |
|---|---|
| Stephanie Kirk, 602 Vonderburg Dr, Suite 201, Brandon, FL 33511-5900 Ph: (813) 653-1149 | Stephanie Kirk, 602 Vonderburg Dr, Suite 201, Brandon, FL 33511-5900 Ph: (813) 653-1149 |
Stephanie Madill, Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 602 Vonderburg Dr, Suite 201, Brandon, FL 33511 Phone: 813-653-1149 Fax: 813-654-6644 | |
Mrs. Stacy Heath, SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 602 Vonderburg Dr., Suite 201, Brandon, FL 33511 Phone: 813-653-1149 Fax: 813-654-6644 | |
Heather Martinez, Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 602 Vonderburg Dr, Suite 201, Brandon, FL 33511 Phone: 813-653-1149 Fax: 813-654-6644 | |
Monica Barcelo, Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 602 Vonderburg Dr, Suite 201, Brandon, FL 33511 Phone: 813-653-1149 Fax: 813-654-6644 | |
Kristen Leigh Bond, SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 937 Wicketrun Dr, Brandon, FL 33510 Phone: 954-817-7499 | |
Devon Hornung, Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 602 Vonderburg Dr, Suite 201, Brandon, FL 33511 Phone: 813-653-1149 Fax: 813-654-6644 | |
Mrs. Melissa Perkins, CCC-SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 602 Vonderburg Dr, Brandon, FL 33511 Phone: 305-901-9309 |