Carmen Krug, SLP | |
300 Cheyenne Ct, Deforest, WI 53532-1007 | |
(608) 516-3702 | |
Not Available |
Full Name | Carmen Krug |
---|---|
Gender | Female |
Speciality | Speech-language Pathologist |
Location | 300 Cheyenne Ct, Deforest, Wisconsin |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1407428121 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
235Z00000X | Speech-language Pathologist | 5297 (Wisconsin) | Secondary |
235Z00000X | Speech-language Pathologist | 5297-154 (Wisconsin) | Primary |
Provider Name | Phyt Rehab Of Wisconsin Inc |
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Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
Provider Identifiers | NPI Number: 1366965931 PECOS PAC ID: 5395122196 Enrollment ID: O20220517001830 |
Mailing Address | Practice Location Address |
---|---|
Carmen Krug, SLP 300 Cheyenne Ct, Deforest, WI 53532-1007 Ph: (608) 516-3702 | Carmen Krug, SLP 300 Cheyenne Ct, Deforest, WI 53532-1007 Ph: (608) 516-3702 |
Valerie Sherwood, Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 6902 Parkside Cir, Deforest, WI 53532 Phone: 608-846-2101 | |
Tara Dahlke, BS, MA, MS Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 217 Pocahontas Ln, Deforest, WI 53532 Phone: 715-529-7736 | |
Lily Dettle, Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 311 Winn Ct, Deforest, WI 53532 Phone: 715-520-3634 | |
Joyce Dong, Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 6902 Parkside Cir, Deforest, WI 53532 Phone: 608-846-2101 |