| Ilianna Goettel, MS CCC-SLP | |
|
1925 Village Center Cir Ste 150, Las Vegas, NV 89134-6261 | |
| (702) 899-5810 | |
| (702) 899-5855 |
| Full Name | Ilianna Goettel |
|---|---|
| Gender | Female |
| Speciality | Qualified Speech Language Pathologist |
| Experience | 4 Years |
| Location | 1925 Village Center Cir Ste 150, Las Vegas, Nevada |
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1124795786 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 235Z00000X | Speech-language Pathologist | SP-3149 (Nevada) | Primary |
| 235Z00000X | Speech-language Pathologist | SP-2844 (Nevada) | Secondary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Hollie Fleming Speech Therapy Pllc | 9335513613 | 2 |
| Provider Name | Hollie Fleming Speech Therapy Pllc |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1275230542 PECOS PAC ID: 9335513613 Enrollment ID: O20230328003024 |
| Mailing Address | Practice Location Address |
|---|---|
| Ilianna Goettel, MS CCC-SLP 7607 Mount Princeton St, Las Vegas, NV 89166-5011 Ph: (727) 415-4083 | Ilianna Goettel, MS CCC-SLP 1925 Village Center Cir Ste 150, Las Vegas, NV 89134-6261 Ph: (702) 899-5810 |
Crystal Lee Clover, MS-SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 8540 S Eastern Ave, Suite 180, Las Vegas, NV 89123 Phone: 702-733-8255 Fax: 702-737-8255 | |
Jameyan Miller, Speech-Language Pathologist Medicare: Medicare Enrolled Practice Location: 7312 W Cheyenne Ave, Suite 4, Las Vegas, NV 89129 Phone: 702-203-7504 | |
Allie Christine Elwell, MS, CF-SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 1333 N Buffalo Dr Unit 260, Las Vegas, NV 89128 Phone: 702-979-4268 Fax: 702-979-4268 | |
Marta Ponce Moreno, Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 10544 Valdosta Ave, Las Vegas, NV 89129 Phone: 267-213-9712 | |
Ashlend Rodriguez, M.A., CCC-SLP Speech-Language Pathologist Medicare: Medicare Enrolled Practice Location: 11091 Kilkerran Ct, Las Vegas, NV 89141 Phone: 702-381-1839 | |
Jennie Lynn, M.A. CCC/SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 6152 Calm Breeze Ave, Unit 103, Las Vegas, NV 89108 Phone: 702-645-8243 | |
Ms. Kasey L Thomas, CCC-SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 2832 S Maryland Pkwy, Las Vegas, NV 89109 Phone: 702-735-5848 |