Ms Angie Dawn Ellenbecker, SLP | |
1994 Gallatin Pike N Ste 309, Madison, TN 37115-2025 | |
(615) 596-1830 | |
(615) 766-8277 |
Full Name | Ms Angie Dawn Ellenbecker |
---|---|
Gender | Female |
Speciality | Speech-language Pathologist |
Location | 1994 Gallatin Pike N Ste 309, Madison, Tennessee |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1457518417 | NPI | - | NPPES |
1457518417 | Medicaid | NV |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
235Z00000X | Speech-language Pathologist | 1179 (Nevada) | Secondary |
235Z00000X | Speech-language Pathologist | ST5779 (Tennessee) | Primary |
Provider Name | Ellenbecker And Borsellino Pllc |
---|---|
Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1215499447 PECOS PAC ID: 3971836412 Enrollment ID: O20190614001607 |
Mailing Address | Practice Location Address |
---|---|
Ms Angie Dawn Ellenbecker, SLP 513 Salt Lick Trl, Goodlettsville, TN 37072-3321 Ph: (615) 596-1830 | Ms Angie Dawn Ellenbecker, SLP 1994 Gallatin Pike N Ste 309, Madison, TN 37115-2025 Ph: (615) 596-1830 |
Lara Harris, Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 200 Chesterton Ct, Madison, TN 37115 Phone: 615-305-0345 | |
Amber Leigh Moreau, M.S., CF-SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 113 Cumberland Ave Ste 110, Madison, TN 37115 Phone: 615-596-1830 | |
Miss Molly M Trautschold, M.S., CCC-SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 431 Larkin Springs Rd, Madison, TN 37115 Phone: 615-865-8520 | |
Talk To Me Speech Therapy Tn Speech-Language Pathologist Medicare: Medicare Enrolled Practice Location: 1994 Gallatin Pike N Ste 202, Madison, TN 37115 Phone: 615-596-1830 Fax: 615-766-8277 | |
Regan Horan, MS CCC-SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 113 Cumberland Ave Ste 110, Madison, TN 37115 Phone: 615-596-1830 | |
Maria Beatrice Hageraeng, SLPA Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 113 Cumberland Ave Ste 110, Madison, TN 37115 Phone: 615-596-1830 |