| Alisa Fussell, | |
|
10131 Highway 53 W, Burgaw, NC 28425 | |
| (910) 471-0111 | |
| Not Available |
| Full Name | Alisa Fussell |
|---|---|
| Gender | Female |
| Speciality | Pathology |
| Experience | 10 Years |
| Location | 10131 Highway 53 W, Burgaw, North Carolina |
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1578004800 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 235Z00000X | Speech-language Pathologist | 11983 (North Carolina) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Coastal Speech Therapy Inc | 5092024323 | 7 |
| Provider Name | Coastal Speech Therapy Inc |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1750782462 PECOS PAC ID: 5092024323 Enrollment ID: O20151027001658 |
| Mailing Address | Practice Location Address |
|---|---|
| Alisa Fussell, 10131 Hwy 53 W, Burgaw, NC 28425 Ph: (910) 471-0111 | Alisa Fussell, 10131 Highway 53 W, Burgaw, NC 28425 Ph: (910) 471-0111 |
Linzy Tansey, Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 311 S Campbell St, Burgaw, NC 28425 Phone: 910-259-6007 | |
Megan Lydon, Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 507 E Fremont St, Burgaw, NC 28425 Phone: 910-300-4144 Fax: 910-892-0029 | |
Courtney L Gibbs, MS, CCC-SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 126 W Fremont St, Burgaw, NC 28425 Phone: 910-663-5450 Fax: 844-803-6048 | |
Alice Lippman, Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 311 S Campbell St, Burgaw, NC 28425 Phone: 910-259-6007 | |
Mrs. Kellie Savard, MS, CCC-SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 213 South Wright Street, Unit B, Burgaw, NC 28425 Phone: 910-300-6150 Fax: 844-803-6048 | |
Ms. Roxanne Harrell Vivlamore, M.S., CCC-SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 2171 Malpass Corner Rd, Burgaw, NC 28425 Phone: 910-352-0081 |