Ethan Wash, | |
2655 N Pebble Creek Pkwy, Goodyear, AZ 85395-9051 | |
(602) 677-8992 | |
(602) 677-8992 |
Full Name | Ethan Wash |
---|---|
Gender | Male |
Speciality | Qualified Speech Language Pathologist |
Experience | 9 Years |
Location | 2655 N Pebble Creek Pkwy, Goodyear, Arizona |
Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1588192033 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
235Z00000X | Speech-language Pathologist | 14069277 (Arizona) | Primary |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Midwestern University | 6305734773 | 114 |
Provider Name | Midwestern University |
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Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1932206414 PECOS PAC ID: 6305734773 Enrollment ID: O20040308000663 |
Mailing Address | Practice Location Address |
---|---|
Ethan Wash, 9164 W Sandra Ter, Peoria, AZ 85382-3560 Ph: () - | Ethan Wash, 2655 N Pebble Creek Pkwy, Goodyear, AZ 85395-9051 Ph: (602) 677-8992 |
Sarah Michelle Rock, Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 14557 W Indian School Rd, Goodyear, AZ 85395 Phone: 623-242-6908 | |
Ms. Luciana Gregory, Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 9114 San Pablo Dr, Goodyear, AZ 85338 Phone: 623-535-6571 | |
Melanie Perreault, MA, CCC-SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 16750 W Garfield St, Goodyear, AZ 85338 Phone: 623-772-4700 | |
Melissa Soto, Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 13851 E. La Mar Blvd, Goodyear, AZ 85338 Phone: 623-399-6159 | |
Alexandra Cleveland, MS Speech-Language Pathologist Medicare: Medicare Enrolled Practice Location: 13575 W Mcdowell Rd, Goodyear, AZ 85395 Phone: 623-536-9911 | |
Danielle Nicole Payne, CF-SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 14557 W Indian School Rd # 500, Goodyear, AZ 85395 Phone: 623-242-6908 | |
Janessa Lynn Tidwell, CF-SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 13575 W Mcdowell Rd, Goodyear, AZ 85395 Phone: 623-536-9911 |