Tait Anderson, | |
8758 Egan Dr, Savage, MN 55378-2561 | |
(952) 443-9888 | |
(952) 443-9804 |
Full Name | Tait Anderson |
---|---|
Gender | Male |
Speciality | Speech-language Pathologist |
Location | 8758 Egan Dr, Savage, Minnesota |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1104370683 | NPI | - | NPPES |
001442700 | Medicaid | MN | |
16154051 | Other | MN | PT CARE |
565581028804 | Other | MN | PREFERRED ONE |
017J6KI | Other | MN | BCBS |
1311578 | Other | MN | ARAZ/AMERICA'S PPO/CIGNA |
169036 | Other | MN | UCARE |
76842 | Other | MN | HEALTH PARTNERS |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
235Z00000X | Speech-language Pathologist | 9497 (Minnesota) | Primary |
Provider Name | Kid Talk Inc |
---|---|
Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1245315027 PECOS PAC ID: 7315190147 Enrollment ID: O20130103000370 |
Mailing Address | Practice Location Address |
---|---|
Tait Anderson, 1772 Steiger Lake Ln, Victoria, MN 55386-7723 Ph: (952) 443-9888 | Tait Anderson, 8758 Egan Dr, Savage, MN 55378-2561 Ph: (952) 443-9888 |
Margaret Kaufmann, M.S. CCC-SLP Speech-Language Pathologist Medicare: Accepting Medicare Assignments Practice Location: 12646 Joppa Ave S, Savage, MN 55378 Phone: 507-351-4705 | |
Twin Cities Speech And Memory Speech-Language Pathologist Medicare: Medicare Enrolled Practice Location: 12646 Joppa Ave S, Savage, MN 55378 Phone: 507-351-4705 |