Ms Dawn Elizabeth Wetzel, MAT CCC | |
500 Oval Drive, Heavilon Hall G34d, West Lafayette, IN 47907-2038 | |
(765) 494-3816 | |
(765) 494-0771 |
Full Name | Ms Dawn Elizabeth Wetzel |
---|---|
Gender | Female |
Speciality | Speech-language Pathologist |
Location | 500 Oval Drive, West Lafayette, Indiana |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1295915916 | NPI | - | NPPES |
000000553114 | Other | IN | ANTHEM |
200891420 | Medicaid | IN |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
235Z00000X | Speech-language Pathologist | 22001747 (Indiana) | Secondary |
235Z00000X | Speech-language Pathologist | 22001747A (Indiana) | Primary |
Provider Name | Arnett Clinic Llc |
---|---|
Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1164490843 PECOS PAC ID: 0749184380 Enrollment ID: O20031125000119 |
Provider Name | Trustees Of Purdue University |
---|---|
Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1619055712 PECOS PAC ID: 2567373012 Enrollment ID: O20200821001390 |
Mailing Address | Practice Location Address |
---|---|
Ms Dawn Elizabeth Wetzel, MAT CCC 601 Stadium Mall Drive, West Lafayette, IN 47907-2052 Ph: (765) 496-1927 | Ms Dawn Elizabeth Wetzel, MAT CCC 500 Oval Drive, Heavilon Hall G34d, West Lafayette, IN 47907-2038 Ph: (765) 494-3816 |
Mrs. Katie Bowsher, SLP Speech-Language Pathologist Medicare: Medicare Enrolled Practice Location: 1328 E 600 N, West Lafayette, IN 47906 Phone: 765-490-6935 | |
Ms. Teresa Marie Cecil, SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 2600 Wilshire Ave, West Lafayette, IN 47906 Phone: 765-414-0157 Fax: 765-497-0363 | |
Hannah Fischer, MS CCC-SLP Speech-Language Pathologist Medicare: Medicare Enrolled Practice Location: 909 Sagamore Pkwy W Ste 917, West Lafayette, IN 47906 Phone: 765-463-0710 Fax: 765-463-0711 | |
Mrs. Barbara A Cicholski, MA Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 1353 Heavilon Hall, 500 Oval Drive, West Lafayette, IN 47907 Phone: 765-494-3792 Fax: 765-494-0771 | |
Charna Tamar Greenwell, M.S. CCC-SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 715 Clinic Dr, West Lafayette, IN 47907 Phone: 765-494-3795 | |
Shie Kantor, CCC-SLP Speech-Language Pathologist Medicare: Medicare Enrolled Practice Location: 2741 N Salisbury St, West Lafayette, IN 47906 Phone: 765-463-7546 | |
Laura Nettesheim, CCC-SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 715 Clinic Dr, West Lafayette, IN 47907 Phone: 765-494-3789 |