Ashley Fagan, | |
3110 Oakbridge Blvd E, Lakeland, FL 33803-5987 | |
(863) 648-4800 | |
Not Available |
Full Name | Ashley Fagan |
---|---|
Gender | Female |
Speciality | Speech-language Pathologist |
Location | 3110 Oakbridge Blvd E, Lakeland, Florida |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1003231770 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
235Z00000X | Speech-language Pathologist | SZ6413 (Florida) | Primary |
Provider Name | Rehab Advantage Solutions Pllc |
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Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
Provider Identifiers | NPI Number: 1164908307 PECOS PAC ID: 0749534865 Enrollment ID: O20181108000550 |
Mailing Address | Practice Location Address |
---|---|
Ashley Fagan, 101 E State St, Kennett Square, PA 19348-3109 Ph: () - | Ashley Fagan, 3110 Oakbridge Blvd E, Lakeland, FL 33803-5987 Ph: (863) 648-4800 |
Alicia Harris, ST Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 1335 Ariana St, Lakeland, FL 33803 Phone: 863-413-0802 Fax: 863-813-0812 | |
Ms. Graysen Mae Delegge, M.ED., CF-SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 1215 E Orange St, Lakeland, FL 33801 Phone: 863-802-3800 | |
Sarah Almaguer, SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 1755 N Florida Ave, Lakeland, FL 33805 Phone: 863-904-6200 Fax: 866-264-8519 | |
Amanda Lynn Gilbert, Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 1335 Ariana St, Lakeland, FL 33803 Phone: 863-413-0802 | |
Shelby Witherspoon, Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 1215 E Orange St, Lakeland, FL 33801 Phone: 863-802-3800 | |
Chelsea Hall Lauer, MS, CCC-SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 4664 E County Road 540a, Lakeland, FL 33813 Phone: 863-583-4401 |