Tracy Mather, SLP | |
411 Prairie Heights Dr Ste 101, Verona, WI 53593-2238 | |
(608) 556-6120 | |
(608) 509-4068 |
Full Name | Tracy Mather |
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Gender | Female |
Speciality | Speech-language Pathologist |
Location | 411 Prairie Heights Dr Ste 101, Verona, Wisconsin |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1023685542 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
235Z00000X | Speech-language Pathologist | 6135-154 (Wisconsin) | Primary |
235Z00000X | Speech-language Pathologist | 1957 (North Dakota) | Secondary |
Provider Name | Pediatric Therapy Partners Inc |
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Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1457479958 PECOS PAC ID: 3072667203 Enrollment ID: O20090821000335 |
Mailing Address | Practice Location Address |
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Tracy Mather, SLP 411 Prairie Heights Dr Ste 101, Verona, WI 53593-2238 Ph: (608) 556-6120 | Tracy Mather, SLP 411 Prairie Heights Dr Ste 101, Verona, WI 53593-2238 Ph: (608) 556-6120 |
Alyssa Nicole Feller, Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 991 Kimball Ln, Verona, WI 53593 Phone: 608-556-6120 | |
Dana Sue Bohrer, MA, CCC-SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 1270 Cathedral Point Dr, Verona, WI 53593 Phone: 608-556-6120 | |
Kayla Marie Weavers, Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 411 Prairie Heights Dr Ste 101, Verona, WI 53593 Phone: 608-556-6120 | |
Claire Kathryn Manske, Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 411 Prairie Heights Dr Ste 101, Verona, WI 53593 Phone: 608-556-6120 | |
Danielle Marie Bentley, Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 835 E Chapel Royal Dr, Verona, WI 53593 Phone: 608-280-1568 | |
Jessica Koehler, Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 411 Prairie Heights Dr Ste 101, Verona, WI 53593 Phone: 608-556-6120 |