| Alexis Grace Ciccone, | |
| 
					7820 Baltusrol Blvd, Gainesville, VA 20155-3270  | |
| (703) 468-2750 | |
| Not Available | 
| Full Name | Alexis Grace Ciccone | 
|---|---|
| Gender | Female | 
| Speciality | Speech-language Pathologist | 
| Location | 7820 Baltusrol Blvd, Gainesville, Virginia | 
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. | 
| Identifier | Type | State | Issuer | 
|---|---|---|---|
| 1336842061 | NPI | - | NPPES | 
| Taxonomy | Type | License (State) | Status | 
|---|---|---|---|
| 235Z00000X | Speech-language Pathologist | (* (Not Available)) | Primary | 
| Provider Name | Legacy Healthcare Services Inc | 
|---|---|
| Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice | 
| Provider Identifiers | NPI Number: 1740820828 PECOS PAC ID: 2163339722 Enrollment ID: O20200313002051  | 
| Mailing Address | Practice Location Address | 
|---|---|
| Alexis Grace Ciccone, 203 Lavender Bloom Loop, Mooresville, NC 28115-8703 Ph: (610) 500-0809  | Alexis Grace Ciccone, 7820 Baltusrol Blvd, Gainesville, VA 20155-3270 Ph: (703) 468-2750  | 
Samantha Belle Alexander, MA, CCC-SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 7051 Heathcote Village Way Ste 105, Gainesville, VA 20155 Phone: 703-291-1254  | |
Dana Carole Finn,  Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 13650 Heathcote Blvd, Gainesville, VA 20155 Phone: 571-359-3788  | |
Anna Rada, M.S., CCC-SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 7051 Heathcote Village Way Ste 105, Gainesville, VA 20155 Phone: 703-291-1254  | |
Miss Olivia Anne Hobson, SLP Speech-Language Pathologist Medicare: Accepting Medicare Assignments Practice Location: 7501 Heritage Village Plz, Gainesville, VA 20155 Phone: 571-248-6100 Fax: 571-248-6455  | |
Alyssa Walker,  Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 7051 Heathcote Village Way Ste 105, Gainesville, VA 20155 Phone: 703-291-1524  | |
Samantha Mallek,  Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 10511 Wharfdale Pl, Gainesville, VA 20155 Phone: 703-530-1560  |