Samantha Ross, | |
1250 S A W Grimes Blvd, Round Rock, TX 78664-7429 | |
(512) 310-7665 | |
(512) 310-9228 |
Full Name | Samantha Ross |
---|---|
Gender | Female |
Speciality | Speech-language Pathologist |
Location | 1250 S A W Grimes Blvd, Round Rock, Texas |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1174993448 | NPI | - | NPPES |
0944746-02 | Medicaid | TX | |
0031DG | Other | BLUECROSS BLUESHIELD |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
235Z00000X | Speech-language Pathologist | 112037 (Texas) | Primary |
Provider Name | Great Therapy Group Llc |
---|---|
Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1568886471 PECOS PAC ID: 8224421540 Enrollment ID: O20220209002480 |
Mailing Address | Practice Location Address |
---|---|
Samantha Ross, 1250 S A W Grimes Blvd, Round Rock, TX 78664-7429 Ph: (512) 310-7665 | Samantha Ross, 1250 S A W Grimes Blvd, Round Rock, TX 78664-7429 Ph: (512) 310-7665 |
Stephanie Nicole Perez, Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 1511 Gulf Way, Round Rock, TX 78665 Phone: 512-424-8789 | |
Kathleen T. Castro, Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 1009 N Georgetown St, Round Rock, TX 78664 Phone: 512-244-8374 | |
Deborah Skotak, Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 1009 N Georgetown St, Round Rock, TX 78664 Phone: 512-255-1720 Fax: 512-244-8403 | |
Lisa Woodruff, Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 1009 N Georgetown St, Round Rock, TX 78664 Phone: 512-255-1720 | |
Katherine Sheets, CCC-SLP Speech-Language Pathologist Medicare: Medicare Enrolled Practice Location: 4105 Teravista Club Dr, Round Rock, TX 78665 Phone: 512-310-3700 | |
Christine Marques, M.S., CCC-SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 1208-q North Ih-35, Round Rock, TX 78681 Phone: 512-310-7665 Fax: 512-310-9228 | |
Danya Weinheimer, Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 901 Round Rock Ave, Building E, Round Rock, TX 78681 Phone: 512-341-9991 Fax: 512-341-0019 |