| Miss Megan Clark, CCC-SLP | |
|
1160 Kepler Dr, Green Bay, WI 54311-8321 | |
| (920) 288-5488 | |
| (920) 288-4707 |
| Full Name | Miss Megan Clark |
|---|---|
| Gender | Female |
| Speciality | Speech-language Pathologist |
| Location | 1160 Kepler Dr, Green Bay, Wisconsin |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1417539263 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 235Z00000X | Speech-language Pathologist | 5275-154 (Wisconsin) | Secondary |
| 235Z00000X | Speech-language Pathologist | (* (Not Available)) | Primary |
| Provider Name | Marshfield Clinic Inc |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1952347981 PECOS PAC ID: 2264345206 Enrollment ID: O20031106000590 |
| Provider Name | Mchs Hospitals Inc |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1093221434 PECOS PAC ID: 5698071173 Enrollment ID: O20180208000096 |
| Provider Name | Lakeview Medical Center Inc Of Rice Lake |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1093201832 PECOS PAC ID: 6103737820 Enrollment ID: O20180817001484 |
| Mailing Address | Practice Location Address |
|---|---|
| Miss Megan Clark, CCC-SLP 829 Randolph St, Mishicot, WI 54228-9464 Ph: (715) 432-4425 | Miss Megan Clark, CCC-SLP 1160 Kepler Dr, Green Bay, WI 54311-8321 Ph: (920) 288-5488 |
Abigail Sarah Mcclellan, Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 1114 Chicago St, Green Bay, WI 54301 Phone: 208-380-0163 | |
Abigail Dobbins, SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 1160 Kepler Dr, Green Bay, WI 54311 Phone: 920-288-4700 | |
Tessa Lynn Heckel, M.S. CCC-SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 744 S Webster Ave, Green Bay, WI 54301 Phone: 920-433-7822 Fax: 920-733-3651 | |
Rosemary Stine, MS.CCC.SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 1525 Creekside Ln, Green Bay, WI 54311 Phone: 920-469-1043 | |
Karly Honken, Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: Greenfield Rehab Green Bay, 225 S Monroe Ave #201, Green Bay, WI 53045 Phone: 262-295-6289 | |
Lisa Ann Olson, MS CCC-SLP Speech-Language Pathologist Medicare: Medicare Enrolled Practice Location: 2801 S Webster Ave, Green Bay, WI 54301 Phone: 920-337-1122 Fax: 920-337-1126 | |
Tanya Ann Vincent, Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 2801 S Webster Ave, Green Bay, WI 54301 Phone: 920-337-1122 |