Michaela Mondo, | |
6167 W Quaker St, Orchard Park, NY 14127-2640 | |
(716) 662-4800 | |
(716) 662-5700 |
Full Name | Michaela Mondo |
---|---|
Gender | Female |
Speciality | Speech-language Pathologist |
Location | 6167 W Quaker St, Orchard Park, New York |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1033734116 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
235Z00000X | Speech-language Pathologist | 030938 (New York) | Secondary |
235Z00000X | Speech-language Pathologist | 41YS01257800 (New Jersey) | Primary |
Provider Name | Expressable Therapy Of New Jersey Pc |
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Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1811615685 PECOS PAC ID: 2062889512 Enrollment ID: O20221114000525 |
Mailing Address | Practice Location Address |
---|---|
Michaela Mondo, 4054 Capstone Cir, Williamsville, NY 14221-7389 Ph: (585) 330-9429 | Michaela Mondo, 6167 W Quaker St, Orchard Park, NY 14127-2640 Ph: (716) 662-4800 |
Mrs. Wendy Maureen Kilburn, SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 6167 W Quaker St, Orchard Park, NY 14127 Phone: 716-662-4800 Fax: 716-662-5700 | |
Linda Beyer, Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 3580 Eggert Rd, Orchard Park, NY 14127 Phone: 716-209-6215 | |
Ms. Elizabeth P Hanson, SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 6167 W Quaker St, Orchard Park, NY 14127 Phone: 716-662-4800 Fax: 716-662-5700 | |
Stacy Lynn Berchou, SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 6167 W Quaker St, Orchard Park, NY 14127 Phone: 716-662-4800 Fax: 716-662-5700 | |
Bridget Ann Palmer, SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 6167 W Quaker St, Orchard Park, NY 14127 Phone: 716-662-4800 Fax: 716-662-5700 | |
Maureen Patricia Kicinski, SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 6167 W Quaker St, Orchard Park, NY 14127 Phone: 716-662-4800 Fax: 716-662-5700 |