Nicole Marie Mcgillicuddy, in Oak Creek, WI - Medicare Speech-Language Pathologist Provider

Nicole Marie Mcgillicuddy, is a medicare enrolled "Speech-language Pathologist" provider in Oak Creek, Wisconsin. Her current practice location is 2700 W Honadel Blvd, Oak Creek, Wisconsin. You can reach out to her office (for appointments etc.) via phone at (414) 435-2005.

Nicole Marie Mcgillicuddy is licensed to practice in Wisconsin (license number 5530-154) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1023799020.

Contact Information

	Nicole Marie Mcgillicuddy,
	2700 W Honadel Blvd, Oak Creek, WI 53154-2650
	(414) 435-2005
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Nicole Marie Mcgillicuddy
Gender	Female
Speciality	Speech-language Pathologist
Location	2700 W Honadel Blvd, Oak Creek, Wisconsin
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1023799020
Provider Enumeration Date: 07/31/2023
Last Update Date: 07/31/2023

Medicare PECOS Information:

PECOS PAC ID: 9133662992
Enrollment ID: I20240620003799

Medical Identifiers

Medical identifiers for Nicole Marie Mcgillicuddy such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1023799020	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
235Z00000X	Speech-language Pathologist	5530-154 (Wisconsin)	Primary

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. Nicole Marie Mcgillicuddy allows following entities to bill medicare on her behalf.

Provider Name	Paxxon Healthcare Services Llc
Provider Type	Part B Supplier - Clinic/group Practice
Provider Identifiers	NPI Number: 1003174087 PECOS PAC ID: 8325959554 Enrollment ID: O20130917000750

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. Nicole Marie Mcgillicuddy 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
Nicole Marie Mcgillicuddy, 1888 N Water St Apt 603, Milwaukee, WI 53202-1569 Ph: (630) 272-8984	Nicole Marie Mcgillicuddy, 2700 W Honadel Blvd, Oak Creek, WI 53154-2650 Ph: (414) 435-2005

Reviews and Comments

Speech-Language Pathologist in Oak Creek, WI

Michelle Kondrat, CCC-SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 140 E Rawson Ave Ste 317, Oak Creek, WI 53154 Phone: 262-287-0090
Laura Whiteside, Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 140 E Rawson Ave Ste 317, Oak Creek, WI 53154 Phone: 262-287-0090
Rachelle Verhulst, MA, CCC-SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 140 E Rawson Ave, Ste 317, Oak Creek, WI 53154 Phone: 262-287-0090
Chloe Elizabeth Nolan Shoup, SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 140 E Rawson Ave Ste 317, Oak Creek, WI 53154 Phone: 262-287-0090
Jenna Nicole Cooper, Speech-Language Pathologist Medicare: Medicare Enrolled Practice Location: 200 E Ryan Rd, Oak Creek, WI 53154 Phone: 414-570-3590
Robin K Hecox, CCC-SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 140 E Rawson Ave Ste 317, Oak Creek, WI 53154 Phone: 262-287-0090

Nicole Marie Mcgillicuddy, - Medicare Speech-Language Pathologist in Oak Creek, WI