Jenny M Blankenberger, SLP | |
103 Fair St, Carmi, IL 62821-1327 | |
(618) 384-6130 | |
Not Available |
Full Name | Jenny M Blankenberger |
---|---|
Gender | Female |
Speciality | Speech-language Pathologist |
Location | 103 Fair St, Carmi, Illinois |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1245589209 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
235Z00000X | Speech-language Pathologist | 22005499A (Indiana) | Primary |
Provider Name | Aegis Group Practice Llc |
---|---|
Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1275259798 PECOS PAC ID: 5193036432 Enrollment ID: O20221130001868 |
Mailing Address | Practice Location Address |
---|---|
Jenny M Blankenberger, SLP 103 Fair St, Carmi, IL 62821-1327 Ph: (618) 384-6130 | Jenny M Blankenberger, SLP 103 Fair St, Carmi, IL 62821-1327 Ph: (618) 384-6130 |
Beth E Bowen, MS CCC-SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 216 College Blvd, Carmi, IL 62821 Phone: 618-382-4644 Fax: 618-382-5125 | |
Ms. Brooke L Medlin, M.S. CCC-SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 519 Bohleber Dr, Carmi, IL 62821 Phone: 618-382-8084 Fax: 618-643-5304 | |
James A Burzynski, M.S, CCC, SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: Wabash Christian Retirement Center, 216 College Blvd, Carmi, IL 62821 Phone: 618-382-4644 | |
Ms. Shayne Bundren, Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 722 Renshaw Ave, Apartment 15, Carmi, IL 62821 Phone: 618-383-4501 | |
Jaclyn Garner, M.S. CCC-SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 1187 County Road 700 E, Carmi, IL 62821 Phone: 618-265-3256 | |
Mrs. Patricia Danielle Trout, CCC-SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 113 10th St., Carmi, IL 62821 Phone: 618-384-3421 Fax: 618-382-5138 |