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14425 8th Ave N, Plymouth, MN 55447-4456 | |
| (651) 260-9915 | |
| Not Available |
| Full Name | |
|---|---|
| Type | Facility |
| Speciality | Speech-language Pathologist |
| Location | 14425 8th Ave N, Plymouth, Minnesota |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1083005664 | NPI | - | NPPES |
| 004292700 | Medicaid | MN | |
| 181363 | Other | MN | UCARE |
| 6HS76FU | Other | MN | BLUE CROSS BLUE SHIELD |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 235Z00000X | Speech-language Pathologist | 6402 (Minnesota) | Primary |
| Provider Name | Julie K Ernest |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1821187485 PECOS PAC ID: 3678741659 Enrollment ID: I20110718000619 |
| Provider Name | Kelly A Riordan-jaeschke |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1164648028 PECOS PAC ID: 3476855313 Enrollment ID: I20160108000952 |
| Provider Name | Melanie C Sanmiguel |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1740423177 PECOS PAC ID: 9234432121 Enrollment ID: I20160127001252 |
| Provider Name | Abigail K Trebelhorn |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1851979579 PECOS PAC ID: 0042611121 Enrollment ID: I20210628000146 |
| Mailing Address | Practice Location Address |
|---|---|
14425 8th Ave N, Plymouth, MN 55447-4456 Ph: (651) 260-9915 | 14425 8th Ave N, Plymouth, MN 55447-4456 Ph: (651) 260-9915 |
Kristyne Bazinet, M.S., CCC-SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 2600 Fernbrook Ln N Ste 138, Plymouth, MN 55447 Phone: 952-544-0349 | |
Kari Shoemaker, M.S Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 5855 Cheshire Parkway, Plymouth, MN 55446 Phone: 763-553-7600 | |
Amber J Bartlett, M.S., CCC-SLP Speech-Language Pathologist Medicare: Medicare Enrolled Practice Location: 14130 23rd Ave N, Plymouth, MN 55447 Phone: 763-383-7666 Fax: 763-383-6013 | |
Megan Stumpf, Speech-Language Pathologist Medicare: Medicare Enrolled Practice Location: 15600 36th Ave N Ste 120, Plymouth, MN 55446 Phone: 763-595-0812 Fax: 763-595-0824 | |
Megan L Wroblewski, MS CCC-SLP Speech-Language Pathologist Medicare: Medicare Enrolled Practice Location: 3021 Harbor Ln N Ste 120, Plymouth, MN 55447 Phone: 763-551-3652 | |
Eric William Ernest, MS Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 14425 8th Ave N, Plymouth, MN 55447 Phone: 763-607-2091 Fax: 763-550-1633 |