Kimberly Antushevich Roman, | |
44201 Dequindre Rd, Troy, MI 48085-1117 | |
(248) 964-0660 | |
(248) 964-0665 |
Full Name | Kimberly Antushevich Roman |
---|---|
Gender | Female |
Speciality | Qualified Speech Language Pathologist |
Experience | 29 Years |
Location | 44201 Dequindre Rd, Troy, Michigan |
Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1366917551 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
235Z00000X | Speech-language Pathologist | 7101001147 (Michigan) | Primary |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Fox Rehabilitation Services Mi Llc | 2769819960 | 58 |
Provider Name | Fox Rehabilitation Services Mi Llc |
---|---|
Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
Provider Identifiers | NPI Number: 1790324648 PECOS PAC ID: 2769819960 Enrollment ID: O20200228000658 |
Mailing Address | Practice Location Address |
---|---|
Kimberly Antushevich Roman, 44300 Dequindre Rd, Sterling Heights, MI 48314-1003 Ph: (248) 964-0660 | Kimberly Antushevich Roman, 44201 Dequindre Rd, Troy, MI 48085-1117 Ph: (248) 964-0660 |
Sharon Lindow, Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 44201 Dequindre Rd, Troy, MI 48085 Phone: 248-964-5000 | |
Abeer Dalal, Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 2302 Camilla Dr, Troy, MI 48083 Phone: 586-215-1710 | |
Mrs. Courtney Lucassian, Speech-Language Pathologist Medicare: Medicare Enrolled Practice Location: 5877 Livernois Rd Ste 101, Troy, MI 48098 Phone: 248-828-3800 | |
Leah Stacy Panourgias Marchetti, M.A., CCC-SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 2221 Livernois Rd Ste 101, Troy, MI 48083 Phone: 248-544-0360 Fax: 248-544-0360 | |
Lisa Marie Miodowski, M.A., CCC-SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 3400 Livernois Rd, Troy, MI 48083 Phone: 248-282-6137 | |
Emily Reynolds, Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 44201 Dequindre Rd Ste 203a, Troy, MI 48085 Phone: 248-964-4014 | |
Esther Ho, MA, CCC-SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 210 Town Center Dr, Troy, MI 48084 Phone: 248-643-8900 |