Michelle Ida Tenuta, | |
N2950 State Road 67, Lake Geneva, WI 53147-2655 | |
(262) 245-0535 | |
Not Available |
Full Name | Michelle Ida Tenuta |
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Gender | Female |
Speciality | Speech-language Pathologist |
Location | N2950 State Road 67, 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 |
---|---|---|---|
1174302384 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
235Z00000X | Speech-language Pathologist | 6334154 (Wisconsin) | Primary |
Provider Name | Mercy Health System Corporation |
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Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1598718603 PECOS PAC ID: 7416860440 Enrollment ID: O20031113000164 |
Mailing Address | Practice Location Address |
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Michelle Ida Tenuta, 2812 Lincoln Rd, Kenosha, WI 53143-5654 Ph: (262) 914-9565 | Michelle Ida Tenuta, N2950 State Road 67, Lake Geneva, WI 53147-2655 Ph: (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 | |
Kristine Goebel, SLP Speech-Language Pathologist Medicare: Medicare Enrolled Practice Location: 500 Interchange N, Lake Geneva, WI 53147 Phone: 262-249-5860 Fax: 262-249-5870 | |
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 |