| Susan Adele Bogardus, | |
|
2630 W 13th St, Ashtabula, OH 44004-2405 | |
| (440) 253-9287 | |
| Not Available |
| Full Name | Susan Adele Bogardus |
|---|---|
| Gender | Female |
| Speciality | Qualified Speech Language Pathologist |
| Experience | 2 Years |
| Location | 2630 W 13th St, Ashtabula, Ohio |
| 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 |
|---|---|---|---|
| 1194518142 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 235Z00000X | Speech-language Pathologist | (* (Not Available)) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Legacy Healthcare Services Inc | 2163339722 | 3431 |
| Provider Name | Legacy Healthcare Services Inc |
|---|---|
| Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
| Provider Identifiers | NPI Number: 1174153266 PECOS PAC ID: 2163339722 Enrollment ID: O20200304001327 |
| Mailing Address | Practice Location Address |
|---|---|
| Susan Adele Bogardus, 2630 W 13th St, Ashtabula, OH 44004-2405 Ph: (440) 253-9287 | Susan Adele Bogardus, 2630 W 13th St, Ashtabula, OH 44004-2405 Ph: (440) 253-9287 |
Noreen Fish, MA Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 2630 W 13th St, Ashtabula, OH 44004 Phone: 440-992-2160 |
Miss Gabrielle Rodemaker, Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 2304 Wade Ave, Ashtabula, OH 44004 Phone: 440-992-1250 |
Abriele Zizzo, MS, CCC/SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 2630 W 13th St, Ashtabula, OH 44004 Phone: 440-576-9023 |
Jennifer Vera Korth, M.A.,CCC-SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 4533 Park Ave, Ashtabula, OH 44004 Phone: 888-873-4221 |
Mr. Kevin M Welsh, CCC-SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 2240 Wade Ave, Ashtabula, OH 44004 Phone: 440-993-1240 |
Kateri Z. Wladyka, SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 2900 Donahoe Dr, Ashtabula, OH 44004 Phone: 440-992-4433 Fax: 440-992-6307 |
Leslie A Skidmore, SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 2300 Wade Ave, Ashtabula, OH 44004 Phone: 440-994-9321 |