Jeffery Tyler Millspaugh, SLP | |
1220 Ww Ii Memorial Dr, Winfield, KS 67156 | |
(620) 221-9479 | |
Not Available |
Full Name | Jeffery Tyler Millspaugh |
---|---|
Gender | Male |
Speciality | Speech-language Pathologist |
Location | 1220 Ww Ii Memorial Dr, Winfield, Kansas |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1669004230 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
235Z00000X | Speech-language Pathologist | 4020 (Kansas) | Primary |
Provider Name | Ict Speech Therapy Services Llc |
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Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1669197141 PECOS PAC ID: 6406223619 Enrollment ID: O20221101001167 |
Mailing Address | Practice Location Address |
---|---|
Jeffery Tyler Millspaugh, SLP 821 N Covington St, Wichita, KS 67212-6526 Ph: (316) 215-4719 | Jeffery Tyler Millspaugh, SLP 1220 Ww Ii Memorial Dr, Winfield, KS 67156 Ph: (620) 221-9479 |
Nicole Larsen, Speech-Language Pathologist Medicare: Accepting Medicare Assignments Practice Location: 716 Tweed, Winfield, KS 67156 Phone: 615-896-6400 | |
Mrs. Raline B Butler, MA,SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 1507 E 3rd Ave, Winfield, KS 67156 Phone: 620-221-1778 | |
Sydney Dinicola, Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 1220 Ww Ii Memorial Dr, Winfield, KS 67156 Phone: 620-221-9479 |