| Laura Ellis, SLP | |
|
1 Masonic Way, Sullivan, IL 61951 | |
| (217) 728-4394 | |
| Not Available |
| Full Name | Laura Ellis |
|---|---|
| Gender | Female |
| Speciality | Qualified Speech Language Pathologist |
| Experience | 33 Years |
| Location | 1 Masonic Way, Sullivan, Illinois |
| 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 |
|---|---|---|---|
| 1497104558 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 235Z00000X | Speech-language Pathologist | 146005004 (Illinois) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Empowerme Rehabilitation Illinois Llc | 2365718277 | 361 |
| 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 |
|---|---|
| Laura Ellis, SLP 23 Country Club Est., Sullivan, IL 61951 Ph: Not Available | Laura Ellis, SLP 1 Masonic Way, Sullivan, IL 61951 Ph: (217) 728-4394 |
Mrs. Anne Margaret Osthoff, MS Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 910 N Graham St, Sullivan, IL 61951 Phone: 217-728-2321 Fax: 217-728-4399 |
Danielle Linder, Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 11 Hawthorne Ln, Sullivan, IL 61951 Phone: 217-728-4327 |
Janice Althoff, MS Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 910 N Graham St, Sullivan, IL 61951 Phone: 217-728-2321 Fax: 217-728-4399 |
Aysha Hutson, Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 910 N Graham St, Sullivan, IL 61951 Phone: 217-728-2321 |
Ashley Neikirk, Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 11 Hawthorne Ln, Sullivan, IL 61951 Phone: 217-728-4327 |