Page Ellen Mayberry, MS, CCC-SLP is a
Speech-language Pathologist based in Monticello, Indiana. Page Ellen Mayberry is licensed to practice in Indiana (license number 22007142A) and her current practice location is
1120 N Main St, Monticello, Indiana. She can be reached at her office (for appointments etc.) via phone at
(574) 583-7073.
NPI number for Page Ellen Mayberry is 1417419847 and her current mailing address is 8734 Bluebird Dr, West Chester, Ohio. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1417419847.
Healthcare Provider's Profile
| Full Name | Page Ellen Mayberry |
|---|
| Gender | Female |
|---|
| Speciality | Speech-language Pathologist |
|---|
| Location | 1120 N Main St, Monticello, Indiana |
|---|
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
|---|
NPI Data:
- NPI Number: 1417419847
- Provider Enumeration Date: 04/04/2019
- Last Update Date: 08/10/2020
Medical Identifiers
Medical identifiers for Page Ellen Mayberry such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1417419847 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 235Z00000X | Speech-language Pathologist | 28687 (California) | Secondary |
| 235Z00000X | Speech-language Pathologist | SLP.0003603 (Colorado) | Secondary |
| 235Z00000X | Speech-language Pathologist | SP.13902 (Ohio) | Secondary |
| 235Z00000X | Speech-language Pathologist | SLP12090 (Arizona) | Secondary |
| 235Z00000X | Speech-language Pathologist | 22007142A (Indiana) | 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. Page Ellen Mayberry 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 |
|---|
Page Ellen Mayberry, MS, CCC-SLP
8734 Bluebird Dr,
West Chester, OH 45069-3458
Ph: (513) 504-7650 | Page Ellen Mayberry, MS, CCC-SLP
1120 N Main St,
Monticello, IN 47960-1500
Ph: (574) 583-7073 |
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