Mrs Stacy Nicole Kisor, in Las Vegas, NV - Medicare Qualified Speech Language Pathologist Provider

Mrs Stacy Nicole Kisor, is a medicare enrolled "Speech-language Pathologist" provider in Las Vegas, Nevada. She graduated from medical school in 2012 and has 12 years of diverse experience with area of expertise as Qualified Speech Language Pathologist. She is a member of the group practice Speech Therapy Center Of Excellence Inc. and her current practice location is 5516 S Fort Apache Rd Ste 130, Las Vegas, Nevada. You can reach out to her office (for appointments etc.) via phone at (702) 641-8255.

Mrs Stacy Nicole Kisor is licensed to practice in Washington (license number SI 60298212) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1770829061.

Contact Information

	Mrs Stacy Nicole Kisor,
	5516 S Fort Apache Rd Ste 130, Las Vegas, NV 89148-7679
	(702) 641-8255
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Mrs Stacy Nicole Kisor
Gender	Female
Speciality	Qualified Speech Language Pathologist
Experience	12 Years
Location	5516 S Fort Apache Rd Ste 130, 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.

Medical Education and Training:

Mrs Stacy Nicole Kisor graduated from medical school in 2012

NPI Data:

NPI Number: 1770829061
Provider Enumeration Date: 12/14/2012
Last Update Date: 02/26/2020

Medicare PECOS Information:

PECOS PAC ID: 5799170619
Enrollment ID: I20220311000587

Medical Identifiers

Medical identifiers for Mrs Stacy Nicole Kisor such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1770829061	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
235Z00000X	Speech-language Pathologist	SI 60298212 (Washington)	Primary

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Speech Therapy Center Of Excellence Inc.	8325184377	2

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 Stacy Nicole Kisor allows following entities to bill medicare on her behalf.

Provider Name	Speech Therapy Center Of Excellence Inc.
Provider Type	Part B Supplier - Clinic/group Practice
Provider Identifiers	NPI Number: 1679620934 PECOS PAC ID: 8325184377 Enrollment ID: O20091006000417

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 Stacy Nicole Kisor 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 Stacy Nicole Kisor, 5516 S Fort Apache Rd Ste 130, Las Vegas, NV 89148-7679 Ph: (702) 641-8255	Mrs Stacy Nicole Kisor, 5516 S Fort Apache Rd Ste 130, Las Vegas, NV 89148-7679 Ph: (702) 641-8255

Reviews and Comments

Speech-Language Pathologist in Las Vegas, NV

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

Mrs Stacy Nicole Kisor, - Medicare Speech-Language Pathologist in Las Vegas, NV