Callie L Jerome, MA, CCC SLP is a
Speech-language Pathologist based in Montello, Wisconsin. Callie L Jerome is licensed to practice in Wisconsin (license number 2691154) and her current practice location is
251 Forest Ln, Montello, Wisconsin. She can be reached at her office (for appointments etc.) via phone at
(608) 297-2153.
NPI number for Callie L Jerome is 1952420713 and her current mailing address is Po Box 172, Kingston, Wisconsin. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1952420713.
Healthcare Provider's Profile
Full Name | Callie L Jerome |
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Gender | Female |
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Speciality | Speech-language Pathologist |
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Location | 251 Forest Ln, Montello, Wisconsin |
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Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1952420713
- Provider Enumeration Date: 03/29/2007
- Last Update Date: 07/09/2007
Medical Identifiers
Medical identifiers for Callie L Jerome such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1952420713 | NPI | - | NPPES |
42576800 | Medicaid | WI | |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
235Z00000X | Speech-language Pathologist | 2691154 (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. Callie L Jerome 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 |
Callie L Jerome, MA, CCC SLP Po Box 172, Kingston, WI 53939-0172 Ph: (920) 394-2010 | Callie L Jerome, MA, CCC SLP 251 Forest Ln, Montello, WI 53949-9380 Ph: (608) 297-2153 |
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