Marisa Rickerson, is a
Speech-language Pathologist based in Tayloe, Texas. Marisa Rickerson is licensed to practice in Texas (license number 103418) and her current practice location is
Spjst, 1810 Old Granger Rd, Tayloe, Texas. She can be reached at her office (for appointments etc.) via phone at
(512) 352-6337.
NPI number for Marisa Rickerson is 1902388242 and her current mailing address is 30800 Berry Creek Dr, Georgetown, Texas. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1902388242.
Healthcare Provider's Profile
| Full Name | Marisa Rickerson |
|---|
| Gender | Female |
|---|
| Speciality | Speech-language Pathologist |
|---|
| Location | Spjst, Tayloe, Texas |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
|---|
NPI Data:
- NPI Number: 1902388242
- Provider Enumeration Date: 09/04/2018
- Last Update Date: 09/04/2018
Medical Identifiers
Medical identifiers for Marisa Rickerson such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1902388242 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 235Z00000X | Speech-language Pathologist | 103418 (Texas) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Marisa Rickerson is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Marisa Rickerson,
30800 Berry Creek Dr,
Georgetown, TX 78628-1121
Ph: () - | Marisa Rickerson,
Spjst, 1810 Old Granger Rd,
Tayloe, TX 76574
Ph: (512) 352-6337 |
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