Stars is a
Speech-language Pathologist based in Silver Lake, Wisconsin. Stars is licensed to practice in Wisconsin (license number 3058-154) and their current practice location is
401 E Lake St, Silver Lake, Wisconsin. It can be reached at their office (for appointments etc.) via phone at
(262) 716-9557.
NPI number for Stars is 1639332562 and their current mailing address is Po Box 536, Silver Lake, Wisconsin. Stars
does not participate in medicare program and thus does not accept medicare assignments. The facility's NPI Number is 1639332562.
Healthcare Provider's Profile
| Full Name | Stars |
|---|
| Type | Facility |
|---|
| Speciality | Speech-language Pathologist |
|---|
| Location | 401 E Lake St, Silver Lake, Wisconsin |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. The facility may not accept medicare assignment. |
|---|
NPI Data:
- NPI Number: 1639332562
- Provider Enumeration Date: 07/10/2008
- Last Update Date: 07/10/2008
Medical Identifiers
Medical identifiers for Stars such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1639332562 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 235Z00000X | Speech-language Pathologist | 3058-154 (Wisconsin) | 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. Stars 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 |
|---|
Stars
Po Box 536,
Silver Lake, WI 53170-0536
Ph: (262) 716-9557 | Stars
401 E Lake St,
Silver Lake, WI 53170-1729
Ph: (262) 716-9557 |
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