| Alexa Anna Wiebusch, MS CCC-SLP | |
|
22900 Center Ridge Rd, Rocky River, OH 44116-3000 | |
| (440) 356-2282 | |
| Not Available |
| Full Name | Alexa Anna Wiebusch |
|---|---|
| Gender | Female |
| Speciality | Speech-language Pathologist |
| Location | 22900 Center Ridge Rd, Rocky River, Ohio |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1538869201 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 235Z00000X | Speech-language Pathologist | SP.13476 (Ohio) | Primary |
| Provider Name | Aegis Group Practice Llc |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1093389751 PECOS PAC ID: 5193036432 Enrollment ID: O20210621000546 |
| Mailing Address | Practice Location Address |
|---|---|
| Alexa Anna Wiebusch, MS CCC-SLP 4339 W 217th St, Fairview Park, OH 44126-1809 Ph: (440) 503-0888 | Alexa Anna Wiebusch, MS CCC-SLP 22900 Center Ridge Rd, Rocky River, OH 44116-3000 Ph: (440) 356-2282 |
Mrs. Kirsten Suzanne Wagner, MS CCC-SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 3035 Wooster Rd, Rocky River, OH 44116 Phone: 440-356-4365 Fax: 440-333-0910 | |
Elizabeth Farrell, M.A. CCC-SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 19901 Riverwood Ave, Rocky River, OH 44116 Phone: 440-476-4295 | |
Jennifer Elizabeth Sheridan, M.A. CCC/SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 22706 Briscoe Dr, Rocky River, OH 44116 Phone: 440-376-7789 | |
Molly Nupp, M.A. CCC-SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 19096 Colahan Dr, Rocky River, OH 44116 Phone: 440-773-7614 | |
Maria Housel, M.A. CCC-SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 19800 Detroit Rd, Rocky River, OH 44116 Phone: 216-938-5093 | |
Colleen Sas, Speech-Language Pathologist Medicare: Accepting Medicare Assignments Practice Location: 22795 Laramie Dr, Rocky River, OH 44116 Phone: 440-356-5930 |