Elyse Wahlquist Van Wagenen, MA CCC SLP - Speech-Language Pathologist in Bristol, FL

Elyse Wahlquist Van Wagenen, MA CCC SLP is a Speech-language Pathologist based in Bristol, Florida. Elyse Wahlquist Van Wagenen is licensed to practice in Florida (license number SA17587) and her current practice location is 11287 Nw State Road 20, Bristol, Florida. She can be reached at her office (for appointments etc.) via phone at (850) 694-4420.

NPI number for Elyse Wahlquist Van Wagenen is 1346807476 and her current mailing address is 11287 Nw State Road 20, Bristol, Florida. She does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1346807476.

Contact Information

Elyse Wahlquist Van Wagenen, MA CCC SLP
11287 Nw State Road 20,
Bristol, FL 32321-3414
(850) 694-4420
Not Available

Map and Direction




Healthcare Provider's Profile

Full NameElyse Wahlquist Van Wagenen
GenderFemale
SpecialitySpeech-language Pathologist
Location11287 Nw State Road 20, Bristol, Florida
Accepts Medicare AssignmentsDoes not participate in Medicare Program. She may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1346807476
  • Provider Enumeration Date: 05/23/2019
  • Last Update Date: 12/02/2024

Medical Identifiers

Medical identifiers for Elyse Wahlquist Van Wagenen such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1346807476NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
235Z00000XSpeech-language Pathologist SLPCF000042 (District Of Columbia)Secondary
235Z00000XSpeech-language Pathologist SA17587 (Florida)Primary

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. Elyse Wahlquist Van Wagenen 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 AddressPractice Location Address
Elyse Wahlquist Van Wagenen, MA CCC SLP
11287 Nw State Road 20,
Bristol, FL 32321-3414

Ph: (850) 694-4420
Elyse Wahlquist Van Wagenen, MA CCC SLP
11287 Nw State Road 20,
Bristol, FL 32321-3414

Ph: (850) 694-4420

Reviews and Comments


Speech-Language Pathologist in Bristol, FL

Chatter Pediatric Therapy Pllc
Speech-Language Pathologist
Medicare: Not Enrolled in Medicare
Practice Location: 11287 Nw State Road 20, Bristol, FL 32321
Phone: 850-570-7178    
Britt Jeppson Day, MS, CCC-SLP
Speech-Language Pathologist
Medicare: Not Enrolled in Medicare
Practice Location: 14757 Nw County Road 12, Bristol, FL 32321
Phone: 850-643-2426    
Hammadah Talib Wahlquist,
Speech-Language Pathologist
Medicare: Not Enrolled in Medicare
Practice Location: 11288 Nw State Road 20, Bristol, FL 32321
Phone: 850-570-7178    
Mrs. Jordan Sims Wahlquist, M.S.
Speech-Language Pathologist
Medicare: Not Enrolled in Medicare
Practice Location: 11899 Nw Lake Mystic Duggar Rd, Bristol, FL 32321
Phone: 850-643-2088    
Communication Station & Consulting, Llc
Speech-Language Pathologist
Medicare: Not Enrolled in Medicare
Practice Location: 10659 Nw State Road 20, Bristol, FL 32321
Phone: 850-643-1979    Fax: 850-643-1293

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Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

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