Ms Tara K Jaramillo, SLP | |
1115 N California St, Socorro, NM 87801-0642 | |
(505) 838-0800 | |
(505) 838-3999 |
Full Name | Ms Tara K Jaramillo |
---|---|
Gender | Female |
Speciality | Speech-language Pathologist |
Location | 1115 N California St, Socorro, New Mexico |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1063553360 | NPI | - | NPPES |
88722520 | Other | NM | MEDICAID PCO |
D4005 | Medicaid | NM | |
00P3051 | Other | NM | MEDICAID-ASC |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
235Z00000X | Speech-language Pathologist | 1487 (New Mexico) | Primary |
Provider Name | Positive Outcomes Inc |
---|---|
Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1770624348 PECOS PAC ID: 1052208212 Enrollment ID: O20040302000853 |
Mailing Address | Practice Location Address |
---|---|
Ms Tara K Jaramillo, SLP Po Box 642, Socorro, NM 87801-0642 Ph: (505) 838-0800 | Ms Tara K Jaramillo, SLP 1115 N California St, Socorro, NM 87801-0642 Ph: (505) 838-0800 |
Nice Speech Lady Llc Speech-Language Pathologist Medicare: Medicare Enrolled Practice Location: 409 N California St, Socorro, NM 87801 Phone: 505-907-1902 Fax: 833-448-2997 | |
Lindsey Benjamin, Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 1115 N California St, Socorro, NM 87801 Phone: 575-838-0800 | |
Mrs. Wilson Nice, M.A., CCC-SLP Speech-Language Pathologist Medicare: Accepting Medicare Assignments Practice Location: 409 N California St, Socorro, NM 87801 Phone: 505-907-1902 Fax: 833-448-2997 | |
Charlotte Ruth Wansa, M.A., CF-SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 700 Franklin St, Socorro, NM 87801 Phone: 575-835-0300 | |
Janet Vallese Brook, MS, CCC-SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 1565 Bosquecito Road, Socorro, NM 87801 Phone: 505-835-2118 Fax: 505-835-2118 | |
Ms. Linda Snell Sanchez, SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 1115 N. California St, Socorro, NM 87801 Phone: 505-838-0800 Fax: 505-838-3999 |