| Nicole M Weis, SLP | |
|
2414 Kohler Memorial Dr, Sheboygan, WI 53081-3129 | |
| (920) 457-4461 | |
| Not Available |
| Full Name | Nicole M Weis |
|---|---|
| Gender | Female |
| Speciality | Speech-language Pathologist |
| Location | 2414 Kohler Memorial Dr, Sheboygan, Wisconsin |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1881388155 | NPI | - | NPPES |
| 100240601 | Medicaid | WI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 235Z00000X | Speech-language Pathologist | 6202 (Wisconsin) | Primary |
| 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 |
| Mailing Address | Practice Location Address |
|---|---|
| Nicole M Weis, SLP Po Box 735044, Chicago, IL 60673-5044 Ph: (920) 457-4461 | Nicole M Weis, SLP 2414 Kohler Memorial Dr, Sheboygan, WI 53081-3129 Ph: (920) 457-4461 |
Mrs. Amy Laurell Krueger, MS-CCC-SLP Speech-Language Pathologist Medicare: Medicare Enrolled Practice Location: 2508 Cooper Ave, Sheboygan, WI 53083 Phone: 920-889-5095 | |
Amy Marie Young, MS, CFY-SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 3431 N 13th St, Sheboygan, WI 53083 Phone: 920-457-5046 Fax: 920-208-2713 | |
Mrs. Anneliese M Schneider, CCC-SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 3315 Behrens Pkwy, Sheboygan, WI 53081 Phone: 920-803-1617 Fax: 920-803-1622 | |
Sarah Luethy, Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 1902 Mead Ave, Sheboygan, WI 53081 Phone: 920-458-8333 Fax: 920-458-3346 | |
Annie Cai, SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 3821 Kohler Memorial Dr Ste 102, Sheboygan, WI 53081 Phone: 920-208-9648 | |
Miss Charysse M Gregorash, MS-SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 3315 Behrens Pkwy, Sheboygan, WI 53081 Phone: 920-803-1617 Fax: 920-803-1622 | |
Rachel Ann Keene, MS, CCC-SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 1125 N 13th St, Sheboygan, WI 53081 Phone: 920-803-1617 Fax: 920-803-1622 |