Mrs Jill Axtell, MS, CCC-SLP in Anaheim, CA - Medicare Speech-Language Pathologist Provider

Mrs Jill Axtell, MS, CCC-SLP is a medicare enrolled "Speech-language Pathologist" provider in Anaheim, California. Her current practice location is 411 N Lakeview Ave, Anaheim, California. You can reach out to her office (for appointments etc.) via phone at (714) 279-4125.

Mrs Jill Axtell is licensed to practice in California (license number 12251) 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 1174742175.

Contact Information

	Mrs Jill Axtell, MS, CCC-SLP
	411 N Lakeview Ave, Anaheim, CA 92807-3028
	(714) 279-4125
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Mrs Jill Axtell
Gender	Female
Speciality	Speech-language Pathologist
Location	411 N Lakeview Ave, Anaheim, California
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1174742175
Provider Enumeration Date: 04/25/2007
Last Update Date: 12/01/2021

Medicare PECOS Information:

PECOS PAC ID: 3072645902
Enrollment ID: I20100713000267

Medical Identifiers

Medical identifiers for Mrs Jill Axtell such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1174742175	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
235Z00000X	Speech-language Pathologist	12251 (California)	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. Mrs Jill Axtell allows following entities to bill medicare on her behalf.

Provider Name	Southern California Permanente Medical Group
Provider Type	Part B Supplier - Clinic/group Practice
Provider Identifiers	NPI Number: 1770515280 PECOS PAC ID: 6002729175 Enrollment ID: O20031110000678

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. Mrs Jill Axtell 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
Mrs Jill Axtell, MS, CCC-SLP 17982 Prado Cir, Villa Park, CA 92861-4508 Ph: (714) 279-4125	Mrs Jill Axtell, MS, CCC-SLP 411 N Lakeview Ave, Anaheim, CA 92807-3028 Ph: (714) 279-4125

Reviews and Comments

Speech-Language Pathologist in Anaheim, CA

Kentessa Birner, Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 160 S Old Springs Rd, Suite 100, Anaheim, CA 92808 Phone: 714-282-8852 Fax: 714-282-8876
Ms. Sarah Yi, CCC-SLP Speech-Language Pathologist Medicare: Medicare Enrolled Practice Location: 217 W Cerritos Ave, Anaheim, CA 92805 Phone: 714-776-1231
Elizabeth Welsh, Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 1360 S Anaheim Blvd Ste 150, Anaheim, CA 92805 Phone: 714-776-1231
Ms. Deborah Fung Wai Lau, M.A.. Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 217 W Cerritos Ave, Anaheim, CA 92805 Phone: 714-776-1231 Fax: 714-776-0802
Katelyn Dean, Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 2717 E Maverick Ave, Anaheim, CA 92806 Phone: 714-350-1942
Nicole Versales, M.S. Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 140 S Chaparral Ct Ste 110, Anaheim, CA 92808 Phone: 714-282-8852 Fax: 714-282-8876
Eun Hwa Lee, CCC-SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 217 W Cerritos Ave, Anaheim, CA 92805 Phone: 714-776-1231 Fax: 714-776-0802

Mrs Jill Axtell, MS, CCC-SLP - Medicare Speech-Language Pathologist in Anaheim, CA