Katie Ann Madsen, | |
500 Park St E, Annandale, MN 55302-3060 | |
(507) 820-0289 | |
Not Available |
Full Name | Katie Ann Madsen |
---|---|
Gender | Female |
Speciality | Speech-language Pathologist |
Location | 500 Park St E, Annandale, Minnesota |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1952752735 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
235Z00000X | Speech-language Pathologist | 9695 (Minnesota) | Primary |
Provider Name | St Cloud Hospital |
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Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1043269798 PECOS PAC ID: 4880594779 Enrollment ID: O20110221000134 |
Mailing Address | Practice Location Address |
---|---|
Katie Ann Madsen, 24908 County Road 7, Apt 109, Saint Augusta, MN 56301-8882 Ph: (507) 820-0289 | Katie Ann Madsen, 500 Park St E, Annandale, MN 55302-3060 Ph: (507) 820-0289 |
Greta Fiskum, M.A., CCC-SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 500 Park St E, Annandale, MN 55302 Phone: 320-274-3432 | |
Minde Ann Pulvermacher, M.S. CCC-SLP Speech-Language Pathologist Medicare: Medicare Enrolled Practice Location: 500 Park St E, Annandale, MN 55302 Phone: 320-274-3737 | |
Ms. Jordan Elizabeth Mann, MA, CF-SLP Speech-Language Pathologist Medicare: Medicare Enrolled Practice Location: 500 Park St E, Annandale, MN 55302 Phone: 320-274-2591 |