| Ellie Rae Avallone, CCC/SLP | |
|
530 E 2nd St, Duluth, MN 55805-1913 | |
| (218) 786-5360 | |
| Not Available |
| Full Name | Ellie Rae Avallone |
|---|---|
| Gender | Female |
| Speciality | Speech-language Pathologist |
| Location | 530 E 2nd St, Duluth, Minnesota |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1073702486 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 235Z00000X | Speech-language Pathologist | 8061 (Minnesota) | Secondary |
| 235Z00000X | Speech-language Pathologist | 19060 (Florida) | Primary |
| Provider Name | Dysphagia Management Systems, Llc |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1194196592 PECOS PAC ID: 4385920040 Enrollment ID: O20170411002489 |
| Mailing Address | Practice Location Address |
|---|---|
| Ellie Rae Avallone, CCC/SLP 530 E 2nd St, Duluth, MN 55805-1913 Ph: (218) 786-5360 | Ellie Rae Avallone, CCC/SLP 530 E 2nd St, Duluth, MN 55805-1913 Ph: (218) 786-5360 |
Janine Louise Meister, Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 530 E 2nd St, Duluth, MN 55805 Phone: 218-786-5360 | |
Elyse Marilee Mccoshen, CCC/SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: Essentia Health St Mary's Medical Center, 407 East Third Street, Duluth, MN 55805 Phone: 218-786-4000 | |
Keri Jenkins, Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 2827 E 2nd St, Duluth, MN 55812 Phone: 224-523-9968 | |
Gerald Lieberg, SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 114 S 20th Ave W, Suite A, Duluth, MN 55806 Phone: 218-721-4732 | |
Mr. Paul Degoursey, CCC-SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 407 E 3rd St, Duluth, MN 55805 Phone: 218-786-4000 | |
Natalie R Carl, SLP Speech-Language Pathologist Medicare: Medicare Enrolled Practice Location: 400 E 3rd St, Duluth, MN 55805 Phone: 218-786-8364 | |
Ashley Weber, Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 2501 Rice Lake Rd, Duluth, MN 55811 Phone: 218-625-6400 |