Alexis Grace Ciccone, | |
7820 Baltusrol Blvd, Gainesville, VA 20155-3270 | |
(703) 468-2750 | |
Not Available |
Full Name | Alexis Grace Ciccone |
---|---|
Gender | Female |
Speciality | Speech-language Pathologist |
Location | 7820 Baltusrol Blvd, Gainesville, Virginia |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1336842061 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
235Z00000X | Speech-language Pathologist | (* (Not Available)) | Primary |
Provider Name | Legacy Healthcare Services Inc |
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Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
Provider Identifiers | NPI Number: 1255750030 PECOS PAC ID: 2163339722 Enrollment ID: O20170719000083 |
Mailing Address | Practice Location Address |
---|---|
Alexis Grace Ciccone, 203 Lavender Bloom Loop, Mooresville, NC 28115-8703 Ph: (610) 500-0809 | Alexis Grace Ciccone, 7820 Baltusrol Blvd, Gainesville, VA 20155-3270 Ph: (703) 468-2750 |
Samantha Belle Alexander, MA, CCC-SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 7051 Heathcote Village Way Ste 105, Gainesville, VA 20155 Phone: 703-291-1254 | |
Ms. Hannah Ann Ryan, Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 7001 Heritage Village Plz Ste 175, Gainesville, VA 20155 Phone: 757-284-4440 | |
Anna Rada, M.S., CCC-SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 7051 Heathcote Village Way Ste 105, Gainesville, VA 20155 Phone: 703-291-1254 | |
Miss Olivia Anne Hobson, SLP Speech-Language Pathologist Medicare: Accepting Medicare Assignments Practice Location: 7501 Heritage Village Plz, Gainesville, VA 20155 Phone: 571-248-6100 Fax: 571-248-6455 | |
Alyssa Walker, Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 7051 Heathcote Village Way Ste 105, Gainesville, VA 20155 Phone: 703-291-1524 | |
Samantha Mallek, Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 10511 Wharfdale Pl, Gainesville, VA 20155 Phone: 703-530-1560 |