| Mrs Nancilyn K Ketola, MS, CCC-SLP | |
|
2315 E Mooreland Road, New Berlin, WI 53151 | |
| (262) 798-7200 | |
| Not Available |
| Full Name | Mrs Nancilyn K Ketola |
|---|---|
| Gender | Female |
| Speciality | Speech-language Pathologist |
| Location | 2315 E Mooreland Road, New Berlin, Wisconsin |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1710103494 | NPI | - | NPPES |
| 1710103494 | Medicaid | WI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 235Z00000X | Speech-language Pathologist | 2184-154 (Wisconsin) | Primary |
| Provider Name | Presbyterian Homes Of Wisconsin Inc |
|---|---|
| Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
| Provider Identifiers | NPI Number: 1336845551 PECOS PAC ID: 7618341439 Enrollment ID: O20230317002328 |
| Mailing Address | Practice Location Address |
|---|---|
| Mrs Nancilyn K Ketola, MS, CCC-SLP W194s8371 Summeridge Ct, Muskego, WI 53150-8165 Ph: (414) 687-1122 | Mrs Nancilyn K Ketola, MS, CCC-SLP 2315 E Mooreland Road, New Berlin, WI 53151 Ph: (262) 798-7200 |
Mrs. Cody Marie Busch, M.S. CCC-SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 13755 W Fieldpointe Dr, New Berlin, WI 53151 Phone: 262-796-3660 | |
Miss Roseann Fasi, Speech-Language Pathologist Medicare: Accepting Medicare Assignments Practice Location: 4655 S Hunter Ln, New Berlin, WI 53151 Phone: 414-412-1759 | |
Mrs. Theresa Maria Mcgillivray, M.S., SLP-CCC Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 2895 S Moorland Rd, New Berlin, WI 53151 Phone: 262-782-9015 | |
Natalie Brown, Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 2725 S Moorland Rd Ste 301, New Berlin, WI 53151 Phone: 414-329-2500 | |
Janet Marie Higgins, Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 13570 W Pleasantview Ct, New Berlin, WI 53151 Phone: 262-786-5773 | |
Jillian Beth Walcott, CCC-SLP Speech-Language Pathologist Medicare: Accepting Medicare Assignments Practice Location: 2725 S Moorland Rd Ste 301, New Berlin, WI 53151 Phone: 414-329-2500 | |
Ms. Erin Michelle Major, M.S., CCC-SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 2895 S Moorland Rd, New Berlin, WI 53151 Phone: 262-782-9015 |