Jaden Elle Wilson, | |
1600 1st St E, Independence, IA 50644-3155 | |
(319) 332-0850 | |
Not Available |
Full Name | Jaden Elle Wilson |
---|---|
Gender | Female |
Speciality | Speech-language Pathologist |
Location | 1600 1st St E, Independence, Iowa |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1700469061 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
235Z00000X | Speech-language Pathologist | 108421 (Iowa) | Primary |
Provider Name | Virginia Gay Hospital Inc |
---|---|
Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1164486726 PECOS PAC ID: 1759290331 Enrollment ID: O20040204000919 |
Mailing Address | Practice Location Address |
---|---|
Jaden Elle Wilson, 703 3rd St, La Porte City, IA 50651-1506 Ph: (563) 513-9660 | Jaden Elle Wilson, 1600 1st St E, Independence, IA 50644-3155 Ph: (319) 332-0850 |
Laci Minard, MA, CCC-SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 1700 3rd St Ne, Independence, IA 50644 Phone: 319-334-7015 | |
Megan Rose Trembly, MA, CCC-SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 1610 3rd St Ne, Independence, IA 50644 Phone: 319-334-6039 | |
Lisa Steigerwaldt, Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 2300 Swan Lake Blvd Ste 203, Independence, IA 50644 Phone: 319-334-5155 | |
Maureen Walrath, Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 2300 Swan Lake Blvd, Independence, IA 50644 Phone: 319-334-5155 | |
Michelle Rottinghaus, M.A., CCC-SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 2300 Swan Lake Blvd, Suite #103, Independence, IA 50644 Phone: 319-334-5155 | |
Kaela Weimerskirch, Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 2300 Swan Lake Blvd Ste 103, Independence, IA 50644 Phone: 319-331-6166 |