| Patrick Dermico Elliott, SLP | |
|
934 Cambridge St, Fayetteville, NC 28303-5300 | |
| (910) 493-3520 | |
| (910) 493-3520 |
| Full Name | Patrick Dermico Elliott |
|---|---|
| Gender | Male |
| Speciality | Speech-language Pathologist |
| Location | 934 Cambridge St, Fayetteville, North Carolina |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1710602933 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 235Z00000X | Speech-language Pathologist | 14999 (North Carolina) | Primary |
| Provider Name | A New Leaf Therapeutic Services, Pllc. |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1710391867 PECOS PAC ID: 0345567137 Enrollment ID: O20150314000360 |
| Mailing Address | Practice Location Address |
|---|---|
| Patrick Dermico Elliott, SLP 920 Cambridge St, Fayetteville, NC 28303-5300 Ph: (910) 493-3555 | Patrick Dermico Elliott, SLP 934 Cambridge St, Fayetteville, NC 28303-5300 Ph: (910) 493-3520 |
Rebecca Lynne Deshazo, MA CCC SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 3637 Sycamore Dairy Rd, Fayetteville, NC 28303 Phone: 910-487-1832 Fax: 910-487-6950 | |
Kristen Anna Singleman, MS CCC-SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 1289 Oliver St, Fayetteville, NC 28304 Phone: 910-483-8331 Fax: 910-483-8335 | |
Southeastern Communication And Swallowing Specialists Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 2039 Merrimac Dr, Fayetteville, NC 28304 Phone: 910-495-3324 | |
Mrs. Molly Mcgowan White, MS, CCC/SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 1212 Walter Reed Rd, Fayetteville, NC 28304 Phone: 910-299-0700 Fax: 910-299-0800 | |
Stacy Wilson, SLP Speech-Language Pathologist Medicare: Accepting Medicare Assignments Practice Location: 1289 Oliver St, Fayetteville, NC 28304 Phone: 910-483-8331 Fax: 910-483-8335 | |
Julie A Gerard, MS CCC-SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 3419b Melrose Rd, Fayetteville, NC 28304 Phone: 910-257-2005 Fax: 910-485-6315 | |
Mrs. Sonyae Evans Oates, MSCCC-SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 108 Hay St, Suite 220, Fayetteville, NC 28301 Phone: 910-488-4100 Fax: 910-483-8721 |