Jessica Rae Eberhart, MS CCC-SLP | |
622 Hawkins Ave, Lake Ronkonkoma, NY 11779-2374 | |
(631) 240-3579 | |
Not Available |
Full Name | Jessica Rae Eberhart |
---|---|
Gender | Female |
Speciality | Speech-language Pathologist |
Location | 622 Hawkins Ave, Lake Ronkonkoma, New York |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1649819392 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
235Z00000X | Speech-language Pathologist | (New York) | Primary |
Provider Name | Expressable Therapy Pc |
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Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1134875370 PECOS PAC ID: 0042698136 Enrollment ID: O20230201002420 |
Mailing Address | Practice Location Address |
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Jessica Rae Eberhart, MS CCC-SLP 115 Virginia Ave, Lake Grove, NY 11755-2824 Ph: () - | Jessica Rae Eberhart, MS CCC-SLP 622 Hawkins Ave, Lake Ronkonkoma, NY 11779-2374 Ph: (631) 240-3579 |
Keirstin Glynn, Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 622 Hawkins Ave, Lake Ronkonkoma, NY 11779 Phone: 631-240-3579 | |
Alyssandra Michelle O'connell, MS Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 624 Hawkins Ave, Lake Ronkonkoma, NY 11779 Phone: 631-240-3579 | |
Miss Kristin Johanna Schoenhofen, M.S., CF-SLP, TSSLD Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 624 Hawkins Ave, Lake Ronkonkoma, NY 11779 Phone: 163-124-0357 | |
Carmen Michela Crocitto, Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 624 Hawkins Ave, Lake Ronkonkoma, NY 11779 Phone: 631-240-3579 Fax: 631-389-2644 | |
Alisha Hailey Marine, Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 624 Hawkins Ave, Lake Ronkonkoma, NY 11779 Phone: 631-240-3579 | |
Sachem Speech Incorporation Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 367 Smith Rd, Lake Ronkonkoma, NY 11779 Phone: 631-831-1028 Fax: 631-648-3442 | |
Corryn Taylor Brown, Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 51 School St, Lake Ronkonkoma, NY 11779 Phone: 631-471-1300 |