| Matthew Fornes, MS, CCC-SLP | |
|
200 Trade St, Tarboro, NC 27886-5055 | |
| (252) 823-2799 | |
| Not Available |
| Full Name | Matthew Fornes |
|---|---|
| Gender | Male |
| Speciality | Speech-language Pathologist |
| Location | 200 Trade St, Tarboro, North Carolina |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1407694151 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 235Z00000X | Speech-language Pathologist | 12303 (North Carolina) | Primary |
| Provider Name | Legacy Healthcare Services Inc |
|---|---|
| Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
| Provider Identifiers | NPI Number: 1104823400 PECOS PAC ID: 2163339722 Enrollment ID: O20170118000750 |
| Mailing Address | Practice Location Address |
|---|---|
| Matthew Fornes, MS, CCC-SLP 105 Crown Point Rd, Greenville, NC 27858-5719 Ph: () - | Matthew Fornes, MS, CCC-SLP 200 Trade St, Tarboro, NC 27886-5055 Ph: (252) 823-2799 |
Ms. Ashley Marie Kirk, MS, CCC-SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 200 Trade St, Tarboro, NC 27886 Phone: 252-823-8100 | |
Blooming Speech Therapy, Pllc Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 800 Saint Patrick St, Tarboro, NC 27886 Phone: 252-904-6047 Fax: 252-563-5864 | |
Mrs. Elizabeth Martin, M.S., CCC-SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 200 Trade St, Tarboro, NC 27886 Phone: 252-823-8100 | |
Ms. Marcy L Carlini, MED, CCC-SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 200 Trade St, Tarboro, NC 27886 Phone: 252-823-8100 | |
Sierra Silva, CF-SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 111 Hospital Dr, Tarboro, NC 27886 Phone: 252-641-7700 | |
Tina Chapman, MS.CCC-SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 200 Trade St, Tarboro, NC 27886 Phone: 252-823-2100 |