Jillian Aileen Bader, MS, CF-SLP | |
3960 Coon Rapids Blvd Nw Ste 104, Coon Rapids, MN 55433-2521 | |
(763) 421-8443 | |
Not Available |
Full Name | Jillian Aileen Bader |
---|---|
Gender | Female |
Speciality | Speech-language Pathologist |
Location | 3960 Coon Rapids Blvd Nw Ste 104, Coon Rapids, Minnesota |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
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1629753579 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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235Z00000X | Speech-language Pathologist | 528628 (Minnesota) | Primary |
Provider Name | Ear Nose & Throat Specialty Care Of Minnesota Pa |
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Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1336175744 PECOS PAC ID: 3274524020 Enrollment ID: O20051116000590 |
Mailing Address | Practice Location Address |
---|---|
Jillian Aileen Bader, MS, CF-SLP 9835 Walnut Grove Ln N, Maple Grove, MN 55311-1702 Ph: () - | Jillian Aileen Bader, MS, CF-SLP 3960 Coon Rapids Blvd Nw Ste 104, Coon Rapids, MN 55433-2521 Ph: (763) 421-8443 |
Sahaam Ahmed Abdi, Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 9120 Springbrook Dr Nw, Coon Rapids, MN 55433 Phone: 612-400-6171 | |
Valerie Marquardt, Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 4050 Coon Rapids Blvd Nw, Coon Rapids, MN 55433 Phone: 763-236-8920 | |
Megan Dallas, Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 9120 Springbrook Dr Nw, Coon Rapids, MN 55433 Phone: 612-400-6118 | |
Lisa Marie Rickert, MS, CCC-SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 3111 124th Ave Nw Ste 123, Coon Rapids, MN 55433 Phone: 763-236-7337 | |
Amy Janice Bergsbaken, Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 300 Coon Rapids Blvd Nw, Suite 200, Coon Rapids, MN 55433 Phone: 763-767-0854 Fax: 763-862-6533 | |
Debra Ann Holmquist, Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 3111 124th Ave Nw Ste 123, Coon Rapids, MN 55433 Phone: 763-236-7337 | |
Kelli Timinski, CCC-SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 4050 Coon Rapids Blvd Nw, Coon Rapids, MN 55433 Phone: 763-236-8749 |