| Jillian Beth Walcott, CCC-SLP | |
|
2725 S Moorland Rd Ste 301, New Berlin, WI 53151-3720 | |
| (414) 329-2500 | |
| Not Available |
| Full Name | Jillian Beth Walcott |
|---|---|
| Gender | Female |
| Speciality | Speech-language Pathologist |
| Location | 2725 S Moorland Rd Ste 301, New Berlin, Wisconsin |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1154821841 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 235Z00000X | Speech-language Pathologist | 6464-154 (Wisconsin) | Primary |
| Provider Name | Legacy Healthcare Services Inc |
|---|---|
| Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
| Provider Identifiers | NPI Number: 1598332173 PECOS PAC ID: 2163339722 Enrollment ID: O20211026000517 |
| Mailing Address | Practice Location Address |
|---|---|
| Jillian Beth Walcott, CCC-SLP 530 Cecelia St, Combined Locks, WI 54113-1408 Ph: (616) 401-6511 | Jillian Beth Walcott, CCC-SLP 2725 S Moorland Rd Ste 301, New Berlin, WI 53151-3720 Ph: (414) 329-2500 |
Mrs. Cody Marie Busch, M.S. CCC-SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 13755 W Fieldpointe Dr, New Berlin, WI 53151 Phone: 262-796-3660 | |
Miss Roseann Fasi, Speech-Language Pathologist Medicare: Accepting Medicare Assignments Practice Location: 4655 S Hunter Ln, New Berlin, WI 53151 Phone: 414-412-1759 | |
Mrs. Theresa Maria Mcgillivray, M.S., SLP-CCC Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 2895 S Moorland Rd, New Berlin, WI 53151 Phone: 262-782-9015 | |
Natalie Brown, Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 2725 S Moorland Rd Ste 301, New Berlin, WI 53151 Phone: 414-329-2500 | |
Janet Marie Higgins, Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 13570 W Pleasantview Ct, New Berlin, WI 53151 Phone: 262-786-5773 | |
Ms. Erin Michelle Major, M.S., CCC-SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 2895 S Moorland Rd, New Berlin, WI 53151 Phone: 262-782-9015 |