| Joni Marie Lidy, MS, CCC-SLP | |
|
1000 E. 6th Street, Pana, IL 62557 | |
| (216) 756-2217 | |
| Not Available |
| Full Name | Joni Marie Lidy |
|---|---|
| Gender | Female |
| Speciality | Speech-language Pathologist |
| Location | 1000 E. 6th Street, Pana, Illinois |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1033567805 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 235Z00000X | Speech-language Pathologist | 242.003871 (Illinois) | Secondary |
| 235Z00000X | Speech-language Pathologist | 146.013560 (Illinois) | 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 |
|---|---|
| Joni Marie Lidy, MS, CCC-SLP 211 Sawgrass Drive, Apartment 4, Chatham, IL 62629 Ph: (618) 553-3788 | Joni Marie Lidy, MS, CCC-SLP 1000 E. 6th Street, Pana, IL 62557 Ph: (216) 756-2217 |
Lindsey Nicole Moore, MS Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 410 N Hickory St, Pana, IL 62557 Phone: 217-827-5345 | |
Mrs. Melissa Dawn Eversole, Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 200 Sherman St, Pana, IL 62557 Phone: 217-820-1064 | |
Courtney Kocher, M.S., CCC-SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 101 E 9th St, Pana, IL 62557 Phone: 217-562-6328 Fax: 217-562-6281 |