Mrs Nicole Lynn Marty, MS SLP is a
Speech-language Pathologist based in Washburn, Illinois. Mrs Nicole Lynn Marty is licensed to practice in Illinois (license number 146006221) and her current practice location is
508 E Walnut St, Washburn, Illinois. She can be reached at her office (for appointments etc.) via phone at
(309) 248-7221.
NPI number for Mrs Nicole Lynn Marty is 1902315567 and her current mailing address is 205 S Englewood Dr, Metamora, Illinois. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1902315567.
Healthcare Provider's Profile
Full Name | Mrs Nicole Lynn Marty |
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Gender | Female |
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Speciality | Speech-language Pathologist |
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Location | 508 E Walnut St, Washburn, Illinois |
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Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1902315567
- Provider Enumeration Date: 09/27/2017
- Last Update Date: 09/27/2017
Medical Identifiers
Medical identifiers for Mrs Nicole Lynn Marty such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1902315567 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
235Z00000X | Speech-language Pathologist | 146006221 (Illinois) | 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. Mrs Nicole Lynn Marty 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 |
Mrs Nicole Lynn Marty, MS SLP 205 S Englewood Dr, Metamora, IL 61548-8781 Ph: (309) 367-4901 | Mrs Nicole Lynn Marty, MS SLP 508 E Walnut St, Washburn, IL 61570-7539 Ph: (309) 248-7221 |
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