Mrs Tracy Fate, MA, CCC-SLP | |
1908 W Milham Ave, Portage, MI 49024-1232 | |
(269) 459-6212 | |
Not Available |
Full Name | Mrs Tracy Fate |
---|---|
Gender | Female |
Speciality | Qualified Speech Language Pathologist |
Experience | 23 Years |
Location | 1908 W Milham Ave, Portage, Michigan |
Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1952819856 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
235Z00000X | Speech-language Pathologist | 7101000804 (Michigan) | Primary |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Rehab Specialists, Llc | 9830324482 | 13 |
Provider Name | Rehab Specialists, Llc |
---|---|
Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
Provider Identifiers | NPI Number: 1366881005 PECOS PAC ID: 9830324482 Enrollment ID: O20131106001750 |
Mailing Address | Practice Location Address |
---|---|
Mrs Tracy Fate, MA, CCC-SLP 1908 W Milham Ave, Portage, MI 49024-1232 Ph: (269) 459-6212 | Mrs Tracy Fate, MA, CCC-SLP 1908 W Milham Ave, Portage, MI 49024-1232 Ph: (269) 459-6212 |
Julia Mattern, CCC-SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 3951 W Milham Ave, Portage, MI 49024 Phone: 269-329-0200 | |
Mrs. Heidi Rebecca Thorpe, M.A. Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 8025 Moorsbridge Rd, Portage, MI 49024 Phone: 616-723-3895 | |
Amanda Elise Waldron, MS SLP CCC Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 7855 Currier Dr, Portage, MI 49002 Phone: 269-323-7748 | |
William Humphrey, MACCC/SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 7855 Currier Dr, Portage, MI 49002 Phone: 269-323-7748 Fax: 269-323-1908 | |
Mrs. Julianne Marie Bomia, MA, CCC-SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 1908 W Milham Ave, Portage, MI 49024 Phone: 269-459-6212 Fax: 269-585-6068 | |
Mrs. Adelia M Vanmeter, M.S., CCC-SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 8120 Moorsbridge, Portage, MI 49024 Phone: 269-324-0881 | |
Ms. Suzy Posluszny, M.S. CCC-SLP Speech-Language Pathologist Medicare: Medicare Enrolled Practice Location: 1528 Redstock Ave, Portage, MI 49024 Phone: 269-352-4193 |