| Anna Jackson, CCC-SLP | |
|
16760 Lincoln St, Grand Haven, MI 49417-8864 | |
| (616) 935-3300 | |
| (616) 935-3333 |
| Full Name | Anna Jackson |
|---|---|
| Gender | Female |
| Speciality | Speech-language Pathologist |
| Location | 16760 Lincoln St, Grand Haven, Michigan |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1649961053 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 235Z00000X | Speech-language Pathologist | (* (Not Available)) | Primary |
| Provider Name | Ivyrehab Michigan Llc |
|---|---|
| Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
| Provider Identifiers | NPI Number: 1104337120 PECOS PAC ID: 6901165893 Enrollment ID: O20180123001245 |
| Mailing Address | Practice Location Address |
|---|---|
| Anna Jackson, CCC-SLP 1311 Mamaroneck Ave Ste 140, White Plains, NY 10605-5224 Ph: (914) 265-4838 | Anna Jackson, CCC-SLP 16760 Lincoln St, Grand Haven, MI 49417-8864 Ph: (616) 935-3300 |
Ms. Chelsea Miller, MS, CCC-SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 16760 Lincoln St, Grand Haven, MI 49417 Phone: 616-935-3300 | |
Lauren Burkhardt, MA Speech-Language Pathologist Medicare: Medicare Enrolled Practice Location: 16930 Robbins Rd, Grand Haven, MI 49417 Phone: 616-935-7606 | |
Grand Haven Speech Partners, Llc Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 101 Washington Ave # 7, Grand Haven, MI 49417 Phone: 616-414-0891 | |
Kimberly Schoeck, M.A., CCC-SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 101 Washington Ave, #7, Grand Haven, MI 49417 Phone: 616-414-0891 | |
Mallory Alexis Cronk, Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 16760 Lincoln St, Grand Haven, MI 49417 Phone: 616-935-3300 | |
Shannon Marie Mulder, MS-CCC-SLP Speech-Language Pathologist Medicare: Medicare Enrolled Practice Location: 13476 Hidden Creek Ct, Grand Haven, MI 49417 Phone: 616-402-2187 | |
Brittany Leigh Dykstra, SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 15100 Whittaker Way, Grand Haven, MI 49417 Phone: 616-935-6280 |