Jill Bangs, | |
16260 Park Lake Rd, East Lansing, MI 48823-9480 | |
(517) 339-2322 | |
Not Available |
Full Name | Jill Bangs |
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Gender | Female |
Speciality | Speech-language Pathologist |
Location | 16260 Park Lake Rd, East Lansing, Michigan |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1184352643 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
235Z00000X | Speech-language Pathologist | 7101002283 (* (Not Available)) | Primary |
Provider Name | Legacy Healthcare Services Inc |
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Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1942829064 PECOS PAC ID: 2163339722 Enrollment ID: O20200618000474 |
Mailing Address | Practice Location Address |
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Jill Bangs, 12725 Mahogany Way, Dewitt, MI 48820-7860 Ph: () - | Jill Bangs, 16260 Park Lake Rd, East Lansing, MI 48823-9480 Ph: (517) 339-2322 |
Ms. Coreen L Spencer, M.A., CCC-SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 2775 E Lansing Dr, East Lansing, MI 48823 Phone: 517-332-1616 | |
Elaina Swartzlander, Speech-Language Pathologist Medicare: Medicare Enrolled Practice Location: 2775 E Lansing Dr, East Lansing, MI 48823 Phone: 517-332-1616 Fax: 517-336-4797 | |
Rachel Benner Smith, M.A., CCC-SLP Speech-Language Pathologist Medicare: Accepting Medicare Assignments Practice Location: 2775 E Lansing Dr, East Lansing, MI 48823 Phone: 517-332-1616 | |
Mrs. Julie Ann Rairigh, M.A., SLP-CCC Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 2775 E Lansing Dr, East Lansing, MI 48823 Phone: 517-332-1616 Fax: 517-336-4797 | |
Chelsea Elizabeth Ozuch, MA, CCC-SLP/L Speech-Language Pathologist Medicare: Medicare Enrolled Practice Location: 4060 Springer Way Apt 617, East Lansing, MI 48823 Phone: 517-513-2428 | |
Marcia Anne Diedrich, SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 15260 Center Rd, East Lansing, MI 48823 Phone: 517-243-1611 |