Alicia Marie Wall, CCC-SLP in Mokena, IL - Medicare Speech-Language Pathologist Provider

Alicia Marie Wall, CCC-SLP is a medicare enrolled "Speech-language Pathologist" provider in Mokena, Illinois. Her current practice location is 19309 Beaver Creek Ln, Mokena, Illinois. You can reach out to her office (for appointments etc.) via phone at (708) 650-2106.

Alicia Marie Wall is licensed to practice in * (Not Available) (license number ) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1114208238.

Contact Information

	Alicia Marie Wall, CCC-SLP
	19309 Beaver Creek Ln, Mokena, IL 60448-8251
	(708) 650-2106
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Alicia Marie Wall
Gender	Female
Speciality	Speech-language Pathologist
Location	19309 Beaver Creek Ln, Mokena, Illinois
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1114208238
Provider Enumeration Date: 09/01/2011
Last Update Date: 09/28/2024

Medicare PECOS Information:

PECOS PAC ID: 0244679959
Enrollment ID: I20240415001580

Medical Identifiers

Medical identifiers for Alicia Marie Wall such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1114208238	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
235Z00000X	Speech-language Pathologist	(* (Not Available))	Primary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Alicia Marie Wall allows following entities to bill medicare on her behalf.

Provider Name	Credo Therapy Pllc
Provider Type	Part B Supplier - Clinic/group Practice
Provider Identifiers	NPI Number: 1023888237 PECOS PAC ID: 9335588045 Enrollment ID: O20240415001404

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. Alicia Marie Wall is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
Alicia Marie Wall, CCC-SLP 19309 Beaver Creek Ln, Mokena, IL 60448-8251 Ph: () -	Alicia Marie Wall, CCC-SLP 19309 Beaver Creek Ln, Mokena, IL 60448-8251 Ph: (708) 650-2106

Reviews and Comments

Speech-Language Pathologist in Mokena, IL

Ms. Heather Marie Sullivan, M.A.,CCC-SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 11244 Willow Crest Ln, Mokena, IL 60448 Phone: 708-342-4972
Mrs. Lisa Marie Olson, M.H.S., CCC-SLP/L Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 9026 Adare Ave, Mokena, IL 60448 Phone: 708-478-6588 Fax: 708-478-8064
Ms. Pamela Leigh Carrico, M.A., CCC-SLP Speech-Language Pathologist Medicare: Medicare Enrolled Practice Location: 11531 Swinford Ln, Mokena, IL 60448 Phone: 615-512-1170
Mrs. Mariana Elaine Corazzi, SPEECH PATHOLOGIST Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 10160 Lindsay Ln, Mokena, IL 60448 Phone: 708-217-3791
Margo Ellen Draper, MS, CCC-SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 19520 Blyth Way, Mokena, IL 60448 Phone: 708-475-5553
Mrs. Claudia Elena Gricus, MHS/CCC-SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 21241 Coneflower Dr, Mokena, IL 60448 Phone: 815-464-2787

Alicia Marie Wall, CCC-SLP - Medicare Speech-Language Pathologist in Mokena, IL