Ms Breanna Jane Minor, | |
901 Caledonia St, La Crosse, WI 54603-2616 | |
(608) 785-4100 | |
Not Available |
Full Name | Ms Breanna Jane Minor |
---|---|
Gender | Female |
Speciality | Speech-language Pathologist |
Location | 901 Caledonia St, La Crosse, Wisconsin |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1790164283 | NPI | - | NPPES |
4117-154 | Other | WI | WISCONSIN DSPS |
9463 | Other | MN | MDH |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
235Z00000X | Speech-language Pathologist | 4117-154 (Wisconsin) | Primary |
235Z00000X | Speech-language Pathologist | 9463 (Minnesota) | Secondary |
Provider Name | Partners In Excellence, Inc. |
---|---|
Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
Provider Identifiers | NPI Number: 1467598730 PECOS PAC ID: 8820312366 Enrollment ID: O20150112000062 |
Mailing Address | Practice Location Address |
---|---|
Ms Breanna Jane Minor, 901 Caledonia St, La Crosse, WI 54603-2616 Ph: (608) 785-4100 | Ms Breanna Jane Minor, 901 Caledonia St, La Crosse, WI 54603-2616 Ph: (608) 785-4100 |
Aimee A Balistreri, CCC-SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 1836 South Ave, La Crosse, WI 54601 Phone: 608-782-7300 | |
Stacey L. Burds, SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 700 West Ave S, La Crosse, WI 54601 Phone: 608-785-0940 | |
Cynthia G Meisner, Speech-Language Pathologist Medicare: Medicare Enrolled Practice Location: 1836 South Ave, La Crosse, WI 54601 Phone: 608-782-7300 | |
Ana Carolina Thormann, SLP Speech-Language Pathologist Medicare: Medicare Enrolled Practice Location: 1836 South Ave, La Crosse, WI 54601 Phone: 608-782-7300 | |
Sarah E Graboski, MS CCC-SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 1900 South Ave, La Crosse, WI 54601 Phone: 920-412-8047 | |
Taryn Jean Simon, SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 1836 South Ave, La Crosse, WI 54601 Phone: 608-782-7300 | |
Julie C Wise, SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 1836 South Ave, La Crosse, WI 54601 Phone: 608-782-7300 |