| Jansen Rodgers, MA, CCC-SLP | |
|
15930 19 Mile Rd, Clinton Township, MI 48038-1155 | |
| (586) 286-9644 | |
| Not Available |
| Full Name | Jansen Rodgers |
|---|---|
| Gender | Female |
| Speciality | Speech-language Pathologist |
| Location | 15930 19 Mile Rd, Clinton Township, Michigan |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1134798812 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 235Z00000X | Speech-language Pathologist | 7101007924 (Michigan) | Primary |
| 235Z00000X | Speech-language Pathologist | 7152000066 (Michigan) | Secondary |
| Provider Name | Quality Care Rehabilitation Professionals, Inc |
|---|---|
| Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
| Provider Identifiers | NPI Number: 1396817771 PECOS PAC ID: 7618982471 Enrollment ID: O20060215000330 |
| Provider Name | Ivyrehab Michigan Llc |
|---|---|
| Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
| Provider Identifiers | NPI Number: 1104337120 PECOS PAC ID: 6901165893 Enrollment ID: O20180123001245 |
| Mailing Address | Practice Location Address |
|---|---|
| Jansen Rodgers, MA, CCC-SLP 4126 Heather Hill Dr, Grand Blanc, MI 48439-7998 Ph: (810) 397-0307 | Jansen Rodgers, MA, CCC-SLP 15930 19 Mile Rd, Clinton Township, MI 48038-1155 Ph: (586) 286-9644 |
Sarah Renee Puvalowski, MA, CCC-SLP Speech-Language Pathologist Medicare: Medicare Enrolled Practice Location: 36358 Garfield Rd Ste 2, Clinton Township, MI 48035 Phone: 586-221-0705 | |
Samantha Wolford, MA CCC-SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 42804 Garfield Rd, Clinton Township, MI 48038 Phone: 586-323-2957 Fax: 586-323-0022 | |
Deanna Kuznia, CCC-SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 15855 19 Mile Rd, Clinton Township, MI 48038 Phone: 586-263-2522 | |
Ramadevi Sukumar, Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 37700 Harper Ave, Clinton Township, MI 48036 Phone: 586-468-0827 Fax: 586-468-1475 | |
Amanda Ruth Camp, CCC-SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 17001 17 Mile Rd, Clinton Township, MI 48038 Phone: 586-286-7100 | |
Kristin Barbara Frontczak, M.S., CCC-SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 42804 Garfield Rd, Clinton Township, MI 48038 Phone: 586-323-2957 |