Jacqueline Rae Sutherland, MA, CCC-SLP is a
Speech-language Pathologist based in Anamosa, Iowa. Jacqueline Rae Sutherland is licensed to practice in Iowa (license number 001793) and her current practice location is
118 E Main St, Anamosa, Iowa. She can be reached at her office (for appointments etc.) via phone at
(319) 533-2916.
NPI number for Jacqueline Rae Sutherland is 1770729329 and her current mailing address is Po Box 425, Anamosa, Iowa. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1770729329.
Healthcare Provider's Profile
Full Name | Jacqueline Rae Sutherland |
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Gender | Female |
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Speciality | Speech-language Pathologist |
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Location | 118 E Main St, Anamosa, Iowa |
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Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1770729329
- Provider Enumeration Date: 01/05/2009
- Last Update Date: 05/19/2010
Medical Identifiers
Medical identifiers for Jacqueline Rae Sutherland such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1770729329 | NPI | - | NPPES |
0665950 | Medicaid | IA | |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
235Z00000X | Speech-language Pathologist | 001793 (Iowa) | 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. Jacqueline Rae Sutherland 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 Address | Practice Location Address |
Jacqueline Rae Sutherland, MA, CCC-SLP Po Box 425, Anamosa, IA 52205-0425 Ph: (319) 533-2916 | Jacqueline Rae Sutherland, MA, CCC-SLP 118 E Main St, Anamosa, IA 52205-1871 Ph: (319) 533-2916 |
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