Ms Rachel M Bourgault, is a
Speech-language Pathologist based in Banner, Wyoming. Ms Rachel M Bourgault is licensed to practice in Wyoming (license number 103) and her current practice location is
2186 Highway 14, Banner, Wyoming. She can be reached at her office (for appointments etc.) via phone at
(307) 737-2274.
NPI number for Ms Rachel M Bourgault is 1386815066 and her current mailing address is 2186 Highway 14, Banner, Wyoming. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1386815066.
Healthcare Provider's Profile
| Full Name | Ms Rachel M Bourgault |
|---|
| Gender | Female |
|---|
| Speciality | Speech-language Pathologist |
|---|
| Location | 2186 Highway 14, Banner, Wyoming |
|---|
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
|---|
NPI Data:
- NPI Number: 1386815066
- Provider Enumeration Date: 03/20/2008
- Last Update Date: 03/20/2008
Medical Identifiers
Medical identifiers for Ms Rachel M Bourgault such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1386815066 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 235Z00000X | Speech-language Pathologist | 103 (Wyoming) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Ms Rachel M Bourgault is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Ms Rachel M Bourgault,
2186 Highway 14,
Banner, WY 82832-9709
Ph: (307) 737-2274 | Ms Rachel M Bourgault,
2186 Highway 14,
Banner, WY 82832-9709
Ph: (307) 737-2274 |
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