| Breanne Blankenship, MA CCC-SLP | |
|
45 N Whittaker St Ste 204, New Buffalo, MI 49117-1173 | |
| (269) 235-9083 | |
| (269) 235-9821 |
| Full Name | Breanne Blankenship |
|---|---|
| Gender | Female |
| Speciality | Speech-language Pathologist |
| Location | 45 N Whittaker St Ste 204, New Buffalo, Michigan |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1811552110 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 235Z00000X | Speech-language Pathologist | 22006544A (Indiana) | Secondary |
| 235Z00000X | Speech-language Pathologist | 7101008565 (Michigan) | Primary |
| Provider Name | Sunflower Therapy Centers Inc |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1952099715 PECOS PAC ID: 4789040510 Enrollment ID: O20230519001376 |
| Mailing Address | Practice Location Address |
|---|---|
| Breanne Blankenship, MA CCC-SLP 1007 Lincolnway, La Porte, IN 46350-3290 Ph: (219) 326-1234 | Breanne Blankenship, MA CCC-SLP 45 N Whittaker St Ste 204, New Buffalo, MI 49117-1173 Ph: (269) 235-9083 |
Emma Nicole Goodman, Speech-Language Pathologist Medicare: Medicare Enrolled Practice Location: 45 N Whittaker St Ste 204, New Buffalo, MI 49117 Phone: 269-235-9821 | |
Collin J Oswald, M.S. Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 45 N Whittaker St Ste 204, New Buffalo, MI 49117 Phone: 269-235-9821 | |
Amelia Anne Danesi, Speech-Language Pathologist Medicare: Medicare Enrolled Practice Location: 45 N Whittaker St Ste 204, New Buffalo, MI 49117 Phone: 269-235-9821 Fax: 269-359-3735 | |
Allison Ann Dent, Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 45 N Whittaker St Ste 204, New Buffalo, MI 49117 Phone: 269-235-9821 | |
Mrs. Melissa Ann Forker, Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 45 N. Whittaker St., Suite 204, New Buffalo, MI 49117 Phone: 269-235-9821 Fax: 269-586-2336 | |
Nicole Donnelly, Speech-Language Pathologist Medicare: Medicare Enrolled Practice Location: 45 N Whittaker St Ste 204, New Buffalo, MI 49117 Phone: 269-235-9821 Fax: 269-359-3735 |