| Stacey Bagwell, | |
|
2701 Chestnut Station Ct, Louisville, KY 40299-6395 | |
| (800) 335-1060 | |
| Not Available |
| Full Name | Stacey Bagwell |
|---|---|
| Gender | Female |
| Speciality | Speech-language Pathologist |
| Location | 2701 Chestnut Station Ct, Louisville, Kentucky |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1609256262 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 235Z00000X | Speech-language Pathologist | 7101000611 (Michigan) | Primary |
| Provider Name | Legacy Healthcare Services Inc |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1942829064 PECOS PAC ID: 2163339722 Enrollment ID: O20200618000474 |
| Mailing Address | Practice Location Address |
|---|---|
| Stacey Bagwell, 1070 Parkview St, Fenton, MI 48430-4149 Ph: (810) 813-4240 | Stacey Bagwell, 2701 Chestnut Station Ct, Louisville, KY 40299-6395 Ph: (800) 335-1060 |
Samantha Hii, Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 2701 Chestnut Station Ct, Louisville, KY 40299 Phone: 800-335-1060 | |
Mrs. Lauren Elizabeth Ewing, Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 2701 Chestnut Station Ct, Paragon Rehabilitation, Louisville, KY 40299 Phone: 800-335-1060 | |
Laura Kaye Hamdani, M.A., CCC-SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 2701 Chestnut Station Ct, Louisville, KY 40299 Phone: 800-335-1060 | |
Amy L Scott, M.S.,CCC-SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 2701 Chestnut Station Ct, Louisville, KY 40299 Phone: 800-335-1060 | |
Stephanie Jill Dyer, CCC-SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 3920 Dutchmans Ln, Louisville, KY 40207 Phone: 502-259-6608 | |
Kymberly Jean Pennington, Speech-Language Pathologist Medicare: Medicare Enrolled Practice Location: 2701 Chestnut Station Ct, Louisville, KY 40299 Phone: 800-335-1060 | |
Joyce M Wooldridge, MS CCC-SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 1410 Long Run Rd, Louisville, KY 40245 Phone: 502-244-8011 |