Kaitlin Leeanne Pennington, SLP | |
7979 N Shadeland Ave Ste 310, Indianapolis, IN 46250-2042 | |
(317) 621-3780 | |
Not Available |
Full Name | Kaitlin Leeanne Pennington |
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Gender | Female |
Speciality | Speech-language Pathologist |
Location | 7979 N Shadeland Ave Ste 310, Indianapolis, Indiana |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1467856872 | NPI | - | NPPES |
300088445 | Medicaid | IN |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
235Z00000X | Speech-language Pathologist | 9449 (California) | Secondary |
235Z00000X | Speech-language Pathologist | 22005854A (Indiana) | Primary |
Provider Name | Community Physicians Of Indiana Inc |
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Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1619105244 PECOS PAC ID: 1759416662 Enrollment ID: O20100317000717 |
Mailing Address | Practice Location Address |
---|---|
Kaitlin Leeanne Pennington, SLP 6626 E 75th St Ste 500, Indianapolis, IN 46250-2890 Ph: () - | Kaitlin Leeanne Pennington, SLP 7979 N Shadeland Ave Ste 310, Indianapolis, IN 46250-2042 Ph: (317) 621-3780 |
Mrs. Rachelle Lyn Ferguson, M.A., CCC-SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 8616 W 10th St, Indianapolis, IN 46234 Phone: 317-209-2332 | |
Anne P Droese, CCC-SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 6923 Hillsdale Ct, Indianapolis, IN 46250 Phone: 317-472-6150 Fax: 317-644-8050 | |
Mrs. Samantha Lonetta Rae Hannah, M.A. CCC-SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 8921 Southpointe Dr, Suite C-1, Indianapolis, IN 46227 Phone: 317-881-1718 Fax: 317-881-1728 | |
Ms. Courtney Elese Gorbandt, CCC-SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 6239 S East St Ste A, Indianapolis, IN 46227 Phone: 317-791-9031 | |
Julia Porter, MSP, CCC-SLP Speech-Language Pathologist Medicare: Medicare Enrolled Practice Location: 8111 S Emerson Ave, Indianapolis, IN 46237 Phone: 317-528-8111 | |
Sarah Dixon, SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 8111 S Emerson Ave, Indianapolis, IN 46237 Phone: 317-528-8111 | |
Taralynn Morgan Brown, Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 6239 S East St Ste I, Indianapolis, IN 46227 Phone: 317-561-1888 |