| Jason Blair, | |
|
20402 N 15th Ave, Phoenix, AZ 85027-3636 | |
| (623) 445-4952 | |
| Not Available |
| Full Name | Jason Blair |
|---|---|
| Gender | Male |
| Speciality | Speech-language Pathologist |
| Location | 20402 N 15th Ave, Phoenix, Arizona |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1679754261 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 235Z00000X | Speech-language Pathologist | SLPL5724 (Arizona) | Primary |
| Provider Name | Midwestern University |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1932206414 PECOS PAC ID: 6305734773 Enrollment ID: O20040308000663 |
| Provider Name | Wheels On The Bus Inc |
|---|---|
| Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
| Provider Identifiers | NPI Number: 1740353127 PECOS PAC ID: 1456611441 Enrollment ID: O20180626002323 |
| Mailing Address | Practice Location Address |
|---|---|
| Jason Blair, 3121 W Bajada Dr, Phoenix, AZ 85083-5822 Ph: (623) 505-6388 | Jason Blair, 20402 N 15th Ave, Phoenix, AZ 85027-3636 Ph: (623) 445-4952 |
Monica Fales, Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 1817 N 7th St, Phoenix, AZ 85006 Phone: 602-257-3755 | |
Susan E Krantz, Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 20402 N 15th Ave, Phoenix, AZ 85027 Phone: 623-445-4952 Fax: 623-445-5079 | |
Rebecca Mathews, M.S. CCC-SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 16 E Muriel Dr, Phoenix, AZ 85022 Phone: 602-350-1145 | |
Berit Bilquist, Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 4600 E Shea Blvd Ste 101, Phoenix, AZ 85028 Phone: 602-368-8601 | |
Miss Katheryn Reifer, MS Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 4417 N 66th Ave, Phoenix, AZ 85033 Phone: 623-691-2548 | |
Amelia Liliana Herrera, Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 2625 E Grovers Ave, Phoenix, AZ 85032 Phone: 602-449-5200 | |
Kelsey Rae Benjaminson, SLPA Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 20033 N 19th Ave Ste 121, Phoenix, AZ 85027 Phone: 602-875-5616 Fax: 623-227-2030 |