Bethany Carlson, MS, CCC-SLP | |
700 West Ave S, Rehab Department, La Crosse, WI 54601-4783 | |
(608) 392-9768 | |
(608) 392-7142 |
Full Name | Bethany Carlson |
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Gender | Female |
Speciality | Speech-language Pathologist |
Location | 700 West Ave S, La Crosse, Wisconsin |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1457623423 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
235Z00000X | Speech-language Pathologist | (* (Not Available)) | Secondary |
235Z00000X | Speech-language Pathologist | 3641 (Wisconsin) | Primary |
Provider Name | Mayo Clinic Health System-southwest Wisconsin Region Inc |
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Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1629056049 PECOS PAC ID: 0345152443 Enrollment ID: O20031110000684 |
Mailing Address | Practice Location Address |
---|---|
Bethany Carlson, MS, CCC-SLP Po Box 1510, Eau Claire, WI 54702-1510 Ph: (608) 785-0940 | Bethany Carlson, MS, CCC-SLP 700 West Ave S, Rehab Department, La Crosse, WI 54601-4783 Ph: (608) 392-9768 |
Aimee A Balistreri, CCC-SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 1836 South Ave, La Crosse, WI 54601 Phone: 608-782-7300 | |
Stacey L. Burds, SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 700 West Ave S, La Crosse, WI 54601 Phone: 608-785-0940 | |
Cynthia G Meisner, Speech-Language Pathologist Medicare: Medicare Enrolled Practice Location: 1836 South Ave, La Crosse, WI 54601 Phone: 608-782-7300 | |
Ana Carolina Thormann, SLP Speech-Language Pathologist Medicare: Medicare Enrolled Practice Location: 1836 South Ave, La Crosse, WI 54601 Phone: 608-782-7300 | |
Sarah E Graboski, MS CCC-SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 1900 South Ave, La Crosse, WI 54601 Phone: 920-412-8047 | |
Taryn Jean Simon, SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 1836 South Ave, La Crosse, WI 54601 Phone: 608-782-7300 | |
Julie C Wise, SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 1836 South Ave, La Crosse, WI 54601 Phone: 608-782-7300 |