Nicole S Heveroh, is a
Speech-language Pathologist based in Pevely, Missouri. Nicole S Heveroh is licensed to practice in Missouri (license number 2020016517) and her current practice location is
30 Main St, Pevely, Missouri. She can be reached at her office (for appointments etc.) via phone at
(636) 479-5200.
NPI number for Nicole S Heveroh is 1275145120 and her current mailing address is 2800 Buckfield Ct, Saint Louis, Missouri. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1275145120.
Healthcare Provider's Profile
Full Name | Nicole S Heveroh |
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Gender | Female |
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Speciality | Speech-language Pathologist |
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Location | 30 Main St, Pevely, Missouri |
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Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1275145120
- Provider Enumeration Date: 08/21/2020
- Last Update Date: 04/03/2023
Medical Identifiers
Medical identifiers for Nicole S Heveroh such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1275145120 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
235Z00000X | Speech-language Pathologist | (* (Not Available)) | Secondary |
235Z00000X | Speech-language Pathologist | 2020016517 (Missouri) | 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. Nicole S Heveroh 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 |
Nicole S Heveroh, 2800 Buckfield Ct, Saint Louis, MO 63129-5457 Ph: () - | Nicole S Heveroh, 30 Main St, Pevely, MO 63070-3311 Ph: (636) 479-5200 |
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