| Jessica Etienne, | |
|
1310 Mark Franklin Dr, Benton, IL 62812-2049 | |
| (618) 439-3500 | |
| Not Available |
| Full Name | Jessica Etienne |
|---|---|
| Gender | Female |
| Speciality | Speech-language Pathologist |
| Location | 1310 Mark Franklin Dr, Benton, Illinois |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1184106734 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 235Z00000X | Speech-language Pathologist | (* (Not Available)) | Primary |
| Provider Name | Empowerme Rehabilitation Illinois Llc |
|---|---|
| Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
| Provider Identifiers | NPI Number: 1679098263 PECOS PAC ID: 2365718277 Enrollment ID: O20171020001353 |
| Provider Name | Empowerme Wellness Kansas City Llc |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1174118103 PECOS PAC ID: 9830504836 Enrollment ID: O20210317001954 |
| Mailing Address | Practice Location Address |
|---|---|
| Jessica Etienne, 1310 Mark Franklin Dr, Benton, IL 62812-2049 Ph: () - | Jessica Etienne, 1310 Mark Franklin Dr, Benton, IL 62812-2049 Ph: (618) 439-3500 |
Marcia Ellison, M.S., CCCSLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 11426 State Highway 37, Benton, IL 62812 Phone: 618-435-4107 Fax: 618-435-4107 | |
Melissa Simpson, Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 1409 N Main St, Benton, IL 62812 Phone: 618-435-2712 | |
Annalee Schuette, Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 409 E Park St, Benton, IL 62812 Phone: 618-439-7231 | |
Brittania Marie Webb, Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 409 E Park St, Benton, IL 62812 Phone: 618-439-7231 | |
Lisa Page, Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 1000 E Mckenzie St, Benton, IL 62812 Phone: 618-438-7181 | |
Mrs. Tamara Lane Willmore, M.S., CCC-SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 409 E Park St, Benton, IL 62812 Phone: 618-439-7231 |