| Bridget Drust, SLP | |
|
542 Boulevard Ave, Dickson City, PA 18519-1750 | |
| (570) 489-5010 | |
| (570) 489-5060 |
| Full Name | Bridget Drust |
|---|---|
| Gender | Female |
| Speciality | Speech-language Pathologist |
| Location | 542 Boulevard Ave, Dickson City, Pennsylvania |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1518594019 | NPI | - | NPPES |
| SL012256 | Other | PA | DEPARTMENT OF STATE |
| SL012256 | Other | PA | STATE PROFESSIONAL LICENSE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 235Z00000X | Speech-language Pathologist | SL012256 (Pennsylvania) | Primary |
| Provider Name | Pivot Physical Therapy Of Pennsylvania Llc |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1881132488 PECOS PAC ID: 4981971843 Enrollment ID: O20170515000834 |
| Mailing Address | Practice Location Address |
|---|---|
| Bridget Drust, SLP 350 New Fidelity Ct, Garner, NC 27529-2665 Ph: (570) 842-9362 | Bridget Drust, SLP 542 Boulevard Ave, Dickson City, PA 18519-1750 Ph: (570) 489-5010 |
Diane Webber, CCC-SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 851 Commerce Blvd, Suite 107, Dickson City, PA 18519 Phone: 570-489-5561 Fax: 570-489-5563 | |
Ms. Stephanie Kubelus Charles, M.S. Speech-Language Pathologist Medicare: Medicare Enrolled Practice Location: 542 Boulevard Ave, Dickson City, PA 18519 Phone: 610-746-1900 | |
Kaycee Crofton, DPT Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 542 Boulevard Ave, Dickson City, PA 18519 Phone: 570-489-5010 Fax: 570-489-5060 | |
Gina Lee Phillips, SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 829 Lincoln St, Dickson City, PA 18519 Phone: 570-702-6268 | |
Mary Christine Vignola-robeson, SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 542 Boulevard Ave, Dickson City, PA 18519 Phone: 570-489-5010 Fax: 570-489-5060 | |
Ms. Patricia Ann King, CCC-SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 851 Commerce Blvd #107, The Aaron Center, Dickson City, PA 18519 Phone: 570-489-5561 |