Miranda J Gullberg, MS, CCC-SLP is a
Speech-language Pathologist based in Biggsville, Illinois. Miranda J Gullberg is licensed to practice in Illinois (license number 146012643) and her current practice location is
1514 Us Route 34, Biggsville, Illinois. She can be reached at her office (for appointments etc.) via phone at
(309) 627-2339.
NPI number for Miranda J Gullberg is 1194249268 and her current mailing address is 1514 Us Route 34, Biggsville, Illinois. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1194249268.
Healthcare Provider's Profile
Full Name | Miranda J Gullberg |
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Gender | Female |
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Speciality | Speech-language Pathologist |
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Location | 1514 Us Route 34, Biggsville, Illinois |
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Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1194249268
- Provider Enumeration Date: 07/31/2017
- Last Update Date: 07/31/2017
Medical Identifiers
Medical identifiers for Miranda J Gullberg such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1194249268 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
235Z00000X | Speech-language Pathologist | 146012643 (Illinois) | 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. Miranda J Gullberg 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 |
Miranda J Gullberg, MS, CCC-SLP 1514 Us Route 34, Biggsville, IL 61418-5012 Ph: (309) 627-2339 | Miranda J Gullberg, MS, CCC-SLP 1514 Us Route 34, Biggsville, IL 61418-5012 Ph: (309) 627-2339 |
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