Mrs Mary Elizabeth Petoskey, MS/CCC-SLP in Milwaukee, WI - Medicare Speech-Language Pathologist Provider

Mrs Mary Elizabeth Petoskey, MS/CCC-SLP is a medicare enrolled "Speech-language Pathologist" provider in Milwaukee, Wisconsin. Her current practice location is 2900 W. Oklahoma Ave, Milwaukee, Wisconsin. You can reach out to her office (for appointments etc.) via phone at (414) 649-7772.

Mrs Mary Elizabeth Petoskey is licensed to practice in Wisconsin (license number 419-154) 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 1265706444.

Contact Information

	Mrs Mary Elizabeth Petoskey, MS/CCC-SLP
	2900 W. Oklahoma Ave, Milwaukee, WI 53215-0000
	(414) 649-7772
	(414) 649-7977

Map and Direction

Healthcare Provider's Profile

Full Name	Mrs Mary Elizabeth Petoskey
Gender	Female
Speciality	Speech-language Pathologist
Location	2900 W. Oklahoma Ave, Milwaukee, Wisconsin
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1265706444
Provider Enumeration Date: 03/06/2012
Last Update Date: 12/13/2021

Medicare PECOS Information:

PECOS PAC ID: 7214172931
Enrollment ID: I20130401000268

Medical Identifiers

Medical identifiers for Mrs Mary Elizabeth Petoskey such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1265706444	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
235Z00000X	Speech-language Pathologist	419-154 (Wisconsin)	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 Mary Elizabeth Petoskey allows following entities to bill medicare on her behalf.

Provider Name	Aurora Medical Group, Inc.
Provider Type	Part B Supplier - Clinic/group Practice
Provider Identifiers	NPI Number: 1427271378 PECOS PAC ID: 6709794258 Enrollment ID: O20031105000725

Provider Name	Lakeshore Medical Clinic Llc
Provider Type	Part B Supplier - Clinic/group Practice
Provider Identifiers	NPI Number: 1003861188 PECOS PAC ID: 7719890730 Enrollment ID: O20031106000481

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 Mary Elizabeth Petoskey 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 Mary Elizabeth Petoskey, MS/CCC-SLP 10945 N. Port Washington Rd., Suite 211, Mequon, WI 53092-0000 Ph: (262) 241-8000	Mrs Mary Elizabeth Petoskey, MS/CCC-SLP 2900 W. Oklahoma Ave, Milwaukee, WI 53215-0000 Ph: (414) 649-7772

Reviews and Comments

Speech-Language Pathologist in Milwaukee, WI

Ms. Lisa Naymick, M.S. CCC-SLP Speech-Language Pathologist Medicare: Medicare Enrolled Practice Location: 3023 S 84th St, Milwaukee, WI 53227 Phone: 414-607-4223
Miss Deanna Marie Fuster, SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 2025 E Newport Ave, Milwaukee, WI 53211 Phone: 414-298-6759
Mrs. Vicki Lynn Holton, MS, CCC-SCP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 316 North Milwaukee St, Suite 208 Heritage Healthcare Gp, Milwaukee, WI 53202 Phone: 414-615-0665 Fax: 888-389-9031
Hannah Rose Hartman, MS-SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 5790 S 27th St, Milwaukee, WI 53221 Phone: 414-817-3720 Fax: 414-282-4643
Ms. Cheryl L Martens, MS CCC SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 2025 E Newport Ave, Milwaukee, WI 53211 Phone: 414-961-4160
Sydney Budelier, Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 1000 N 92nd St, Milwaukee, WI 53226 Phone: 414-587-7086
Cindy Marie Hrdi, M.S., CCC-SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 2025 E Newport Ave, Milwaukee, WI 53211 Phone: 414-961-4160

Mrs Mary Elizabeth Petoskey, MS/CCC-SLP - Medicare Speech-Language Pathologist in Milwaukee, WI