Miss Andrea Carrico, | |
1000 Association Dr, Charleston, WV 25311-1270 | |
(304) 347-4372 | |
(304) 347-8526 |
Full Name | Miss Andrea Carrico |
---|---|
Gender | Female |
Speciality | Speech-language Pathologist |
Location | 1000 Association Dr, Charleston, West Virginia |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1164548863 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
235Z00000X | Speech-language Pathologist | 1057 (West Virginia) | Primary |
Provider Name | Powerback Rehabilitation Llc |
---|---|
Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
Provider Identifiers | NPI Number: 1336858398 PECOS PAC ID: 2365359932 Enrollment ID: O20230426003181 |
Mailing Address | Practice Location Address |
---|---|
Miss Andrea Carrico, 21 Lafayette Cir, Hurricane, WV 25526-9242 Ph: (304) 757-8390 | Miss Andrea Carrico, 1000 Association Dr, Charleston, WV 25311-1270 Ph: (304) 347-4372 |
Vicki Horn, Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 200 Elizabeth St, Charleston, WV 25311 Phone: 304-348-7740 Fax: 304-348-6671 | |
Rebecca Kelley, Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 200 Elizabeth St, Charleston, WV 25311 Phone: 304-348-7770 | |
Hannah Chinn, Speech-Language Pathologist Medicare: Medicare Enrolled Practice Location: 300 Baker Ln, Charleston, WV 25302 Phone: 304-346-2323 | |
Ericka Brown, Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 200 Elizabeth St, Charleston, WV 25311 Phone: 304-348-7740 Fax: 304-348-6671 | |
Tiffany N Evans, Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 1026 Gordon Dr, Charleston, WV 25303 Phone: 304-421-0854 | |
Michelle Renee Robinson, Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 125 Wertz Ave, Charleston, WV 25311 Phone: 304-610-7171 | |
Ms. Amanda S Casto, CCC-SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 1000 Lincoln Drive, Charleston, WV 25309 Phone: 304-768-4400 |