Mrs Mary Anne Powell, M S, CCC-SLP | |
2400 Legacy Ct, Santa Fe, NM 87507-4819 | |
(505) 501-8623 | |
Not Available |
Full Name | Mrs Mary Anne Powell |
---|---|
Gender | Female |
Speciality | Speech-language Pathologist |
Location | 2400 Legacy Ct, Santa Fe, New Mexico |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1821127515 | NPI | - | NPPES |
000L6741 | Medicaid | NM |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
235Z00000X | Speech-language Pathologist | 3634 (New Mexico) | Primary |
Provider Name | Powerback Rehabilitation Llc |
---|---|
Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1336720218 PECOS PAC ID: 2365359932 Enrollment ID: O20210623000335 |
Mailing Address | Practice Location Address |
---|---|
Mrs Mary Anne Powell, M S, CCC-SLP 2269 Calle Cacique, Santa Fe, NM 87505-4909 Ph: (505) 690-3065 | Mrs Mary Anne Powell, M S, CCC-SLP 2400 Legacy Ct, Santa Fe, NM 87507-4819 Ph: (505) 501-8623 |
Mrs. Elizabeth Ann Neufeld, Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 4001 Office Ct, Suite 408, Santa Fe, NM 87507 Phone: 505-660-8308 Fax: 515-216-9145 | |
Susan Dean Hamre, MA, CCC/SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 3731 State Highway 14, Santa Fe, NM 87508 Phone: 505-470-3422 Fax: 505-214-5140 | |
Susanne Claire Lockford, Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 1800 Old Pecos Trl, Santa Fe, NM 87505 Phone: 505-424-8777 | |
Brooke Erin Litteral, Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 1060 Cerrillos Rd, Santa Fe, NM 87505 Phone: 505-476-6300 | |
Andronette Aila, M.S., CF-SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 1800 Old Pecos Trl Ste 1, Santa Fe, NM 87505 Phone: 505-424-8777 | |
Sangeet Khalsa, SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: Pvs - 1574 St. Rd. 502, Santa Fe, NM 87501 Phone: 505-455-0801 Fax: 505-455-3023 | |
Shenee Setterbo, Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 1231 Apache Ave, Santa Fe, NM 87505 Phone: 505-467-3900 |