| Ms Jennifer Mary Shagan, MS CCC-SLP | |
|
15 Mount Ebo Rd S, Brewster, NY 10509-4004 | |
| (845) 878-9078 | |
| (845) 278-6984 |
| Full Name | Ms Jennifer Mary Shagan |
|---|---|
| Gender | Female |
| Speciality | Speech-language Pathologist |
| Location | 15 Mount Ebo Rd S, Brewster, New York |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1972804482 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 235Z00000X | Speech-language Pathologist | 020586-1 (New York) | Primary |
| Provider Name | State Of New York Comptrollers Office |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1750469912 PECOS PAC ID: 0840101770 Enrollment ID: O20190313000800 |
| Mailing Address | Practice Location Address |
|---|---|
| Ms Jennifer Mary Shagan, MS CCC-SLP Po Box 362, Poughquag, NY 12570-0362 Ph: (845) 702-6159 | Ms Jennifer Mary Shagan, MS CCC-SLP 15 Mount Ebo Rd S, Brewster, NY 10509-4004 Ph: (845) 878-9078 |
Mrs. Katherine Wren, Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 35 Country Hill Rd, Brewster, NY 10509 Phone: 914-552-3431 | |
Stephanie Walker, SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 128 Apple Hill Rd, Brewster, NY 10509 Phone: 845-940-1033 Fax: 845-940-1033 | |
Amanda Guarracina, CCC-SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 400 Doansburg Rd, Brewster, NY 10509 Phone: 845-279-2995 | |
Mrs. Elizabeth Ann Mazzei, M.S., CCC/SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 50 Foggintown Rd, Brewster, NY 10509 Phone: 845-279-5051 | |
Kathleen Marie Higgins, MA, CCC-SLP Speech-Language Pathologist Medicare: Accepting Medicare Assignments Practice Location: 161 Salmons Hollow Rd, Brewster, NY 10509 Phone: 845-279-2011 Fax: 845-279-2011 | |
Jennifer Lynn Anderson, CCC-SLP, TSSLD Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 400 Doansburg Rd, Brewster, NY 10509 Phone: 315-450-4898 | |
Patricia Leo Waltz, M.S. Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 13 0rchard Road, Brewster, NY 10509 Phone: 914-669-8293 |