Ms Sandra Marie Bennett, | |
1902 S Center St, Marshalltown, IA 50158-5983 | |
(641) 754-6120 | |
(641) 754-5019 |
Full Name | Ms Sandra Marie Bennett |
---|---|
Gender | Female |
Speciality | Speech-language Pathologist |
Location | 1902 S Center St, Marshalltown, Iowa |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1235459173 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
235Z00000X | Speech-language Pathologist | 00250 (Iowa) | Primary |
Provider Name | Central Iowa Physio Llc |
---|---|
Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1821488800 PECOS PAC ID: 2062732118 Enrollment ID: O20150930000716 |
Mailing Address | Practice Location Address |
---|---|
Ms Sandra Marie Bennett, 1902 S Center St, Marshalltown, IA 50158-5983 Ph: (641) 754-6120 | Ms Sandra Marie Bennett, 1902 S Center St, Marshalltown, IA 50158-5983 Ph: (641) 754-6120 |
Anne Lukasiewicz, MA CCC-SLP Speech-Language Pathologist Medicare: Medicare Enrolled Practice Location: 2907 S 6th St, Marshalltown, IA 50158 Phone: 641-752-8410 | |
Sierra Wiebensohn, Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 55 Unitypoint Way Ste 70, Marshalltown, IA 50158 Phone: 641-754-6120 | |
Sarah Jane Ries, Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 1902 S Center St, Marshalltown, IA 50158 Phone: 641-754-6120 | |
Nicole Dickerson, Speech-Language Pathologist Medicare: Accepting Medicare Assignments Practice Location: 3 S 4th Ave, Marshalltown, IA 50158 Phone: 641-754-6120 | |
Cayla M Baldwin, MS Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 55 Central Iowa Dr Ste 70, Marshalltown, IA 50158 Phone: 641-754-6120 | |
Emily R Hart, MA Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 55 Central Iowa Dr, Marshalltown, IA 50158 Phone: 515-537-3035 |