Bobbette Lou Trace, MA, CCC-SLP is a
Speech-language Pathologist based in Minden, Nevada. Bobbette Lou Trace is licensed to practice in Pennsylvania (license number SL007402) and her current practice location is
2529 Lena Ct, Minden, Nevada. She can be reached at her office (for appointments etc.) via phone at
(814) 795-1635.
NPI number for Bobbette Lou Trace is 1457474702 and her current mailing address is 2529 Lena Ct, Minden, Nevada. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1457474702.
Healthcare Provider's Profile
| Full Name | Bobbette Lou Trace |
|---|
| Gender | Female |
|---|
| Speciality | Speech-language Pathologist |
|---|
| Location | 2529 Lena Ct, Minden, Nevada |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
|---|
NPI Data:
- NPI Number: 1457474702
- Provider Enumeration Date: 04/09/2007
- Last Update Date: 04/18/2013
Medical Identifiers
Medical identifiers for Bobbette Lou Trace such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1457474702 | NPI | - | NPPES |
| 001444546 | Other | PA | HIGHMARK BLUE CROSS |
| 1010232180002 | Medicaid | PA | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 235Z00000X | Speech-language Pathologist | SL007402 (Pennsylvania) | Primary |
| 235Z00000X | Speech-language Pathologist | SP-1366 (Nevada) | Secondary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Bobbette Lou Trace is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Bobbette Lou Trace, MA, CCC-SLP
2529 Lena Ct,
Minden, NV 89423-7021
Ph: (814) 795-1635 | Bobbette Lou Trace, MA, CCC-SLP
2529 Lena Ct,
Minden, NV 89423-7021
Ph: (814) 795-1635 |
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