Kristine Goebel, SLP | |
500 Interchange N, Lake Geneva, WI 53147-8922 | |
(262) 249-5860 | |
(262) 249-5870 |
Full Name | Kristine Goebel |
---|---|
Gender | Female |
Speciality | Speech-language Pathologist |
Location | 500 Interchange N, Lake Geneva, Wisconsin |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1588876320 | NPI | - | NPPES |
42761100 | Medicaid | WI |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
235Z00000X | Speech-language Pathologist | 1615154 (Wisconsin) | Primary |
Provider Name | Paxxon Healthcare Services Llc |
---|---|
Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1003174087 PECOS PAC ID: 8325959554 Enrollment ID: O20130917000750 |
Mailing Address | Practice Location Address |
---|---|
Kristine Goebel, SLP W241s10155 Meadow Cir, Big Bend, WI 53103-9569 Ph: (262) 662-3354 | Kristine Goebel, SLP 500 Interchange N, Lake Geneva, WI 53147-8922 Ph: (262) 249-5860 |
Michelle Ida Tenuta, Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: N2950 State Road 67, Lake Geneva, WI 53147 Phone: 262-245-0535 | |
Mrs. Megan Rose Walsh, M.S, CCC-SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 700 Geneva Pkwy N, Lake Geneva, WI 53147 Phone: 262-249-3508 Fax: 262-249-7955 | |
Samantha Stewart, SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 700 Geneva Pkwy N, Lake Geneva, WI 53147 Phone: 262-249-3500 | |
Anita Mary Bettinger, SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 211 S Curtis St, Lake Geneva, WI 53147 Phone: 262-248-3145 | |
Leah Marie Livingston, Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 6722 State Road 50, Lake Geneva, WI 53147 Phone: 262-248-2029 | |
Abigail B Rebhan, SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 700 Geneva Pkwy N, Lake Geneva, WI 53147 Phone: 262-249-3500 |