Carissa Wooddell, MS CCC-SLP is a medicare enrolled "Speech-language Pathologist" provider in Mendota, Illinois. She graduated from medical school in 2015 and has 10 years of diverse experience with area of expertise as Qualified Speech Language Pathologist. She is a member of the group practice Empowerme Rehabilitation Illinois Llc and her current practice location is
1401 E 12th St, Mendota, Illinois. You can reach out to her office (for appointments etc.) via phone at
(815) 539-1409.
Carissa Wooddell is licensed to practice in Illinois (license number 146013301) and she also participates in the medicare program. She
accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1699230813.
Healthcare Provider's Profile
| Full Name | Carissa Wooddell |
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| Gender | Female |
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| Speciality | Qualified Speech Language Pathologist |
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| Experience | 10 Years |
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| Location | 1401 E 12th St, Mendota, Illinois |
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| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Carissa Wooddell graduated from medical school in 2015
NPI Data:
- NPI Number: 1699230813
- Provider Enumeration Date: 02/01/2019
- Last Update Date: 09/07/2023
Medicare PECOS Information:
- PECOS PAC ID: 8426402926
- Enrollment ID: I20231003001269
Medical Identifiers
Medical identifiers for Carissa Wooddell such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1699230813 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 235Z00000X | Speech-language Pathologist | 146013301 (Illinois) | Primary |
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
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| Empowerme Rehabilitation Illinois Llc | 2365718277 | 334 |
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. Carissa Wooddell allows following entities to bill medicare on her behalf.
| Provider Name | Empowerme Rehabilitation Illinois Llc |
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| Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
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| Provider Identifiers | NPI Number: 1679098263
PECOS PAC ID: 2365718277
Enrollment ID: O20171020001353 |
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| Provider Name | Empowerme Wellness Kansas City Llc |
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| Provider Type | Part B Supplier - Clinic/group Practice |
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| Provider Identifiers | NPI Number: 1174118103
PECOS PAC ID: 9830504836
Enrollment ID: O20210317001954 |
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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. Carissa Wooddell 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 |
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Carissa Wooddell, MS CCC-SLP
26556 N 400 East Rd,
Ancona, IL 61311-9805
Ph: (815) 992-0376 | Carissa Wooddell, MS CCC-SLP
1401 E 12th St,
Mendota, IL 61342-9216
Ph: (815) 539-1409 |
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