| Ms Chancy Nicole Rodeghero, | |
|
1416 Maine St, Quincy, IL 62301-4261 | |
| (217) 223-8700 | |
| Not Available |
| Full Name | Ms Chancy Nicole Rodeghero |
|---|---|
| Gender | Female |
| Speciality | Speech-language Pathologist |
| Location | 1416 Maine St, Quincy, Illinois |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1265615520 | NPI | - | NPPES |
| 467618906 | Medicaid | MO |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 235Z00000X | Speech-language Pathologist | 2006015397 (Missouri) | Secondary |
| 235Z00000X | Speech-language Pathologist | 146012060 (Illinois) | Primary |
| Provider Name | Quincy Physicians & Surgeons Clinic, Pllc |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1548234198 PECOS PAC ID: 0749192375 Enrollment ID: O20031103000445 |
| Mailing Address | Practice Location Address |
|---|---|
| Ms Chancy Nicole Rodeghero, 10960 Scott Pl, Hannibal, MO 63401-7387 Ph: (573) 822-5732 | Ms Chancy Nicole Rodeghero, 1416 Maine St, Quincy, IL 62301-4261 Ph: (217) 223-8700 |
Stephanie Lynn Neiswender, ST Speech-Language Pathologist Medicare: Medicare Enrolled Practice Location: 2137 Jersey St, Quincy, IL 62301 Phone: 217-430-4435 | |
Brittany Haubrich, Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 213 N 48th St, Quincy, IL 62305 Phone: 217-919-2084 | |
Mrs. Heather Katherine Gustison, Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 1005 Broadway St, Quincy, IL 62301 Phone: 217-223-8400 Fax: 217-223-9945 | |
Sara Liesen, MS, CF-SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 804 State St, #5, Quincy, IL 62301 Phone: 217-224-1750 Fax: 217-224-0403 | |
Rebecca Nelson Griffin, CCC-SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 804 State St, Ste 5, Quincy, IL 62301 Phone: 217-224-1750 Fax: 217-224-0403 | |
Ms. Trisha M. Hilgenbrinck, CCC-SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 2450 College Ave, Quincy, IL 62301 Phone: 217-779-8247 | |
Mrs. Mackenzi Jo Tallcott, M.S., CCC-SLP Speech-Language Pathologist Medicare: Accepting Medicare Assignments Practice Location: 2631 Ken Ray Dr, Quincy, IL 62301 Phone: 217-209-1748 |