Legacy Healthcare Services Inc - Medicare Physical Therapist in Grayslake, IL

Legacy Healthcare Services Inc is a medicare enrolled "Physical Therapist" provider in Grayslake, Illinois. Their current practice location is 1865 E Belvidere Rd, Grayslake, Illinois. You can reach out to their office (for appointments etc.) via phone at (919) 424-4312.

Legacy Healthcare Services Inc is licensed to practice in * (Not Available) (license number ) and it also participates in the medicare program. Legacy Healthcare Services Inc is enrolled with medicare and should accept medicare assignments and since they are enrolled in medicare, they may order Medicare Part D Prescription drugs, if eligible. The facility's NPI Number is 1689141376.

Contact Information

Legacy Healthcare Services Inc
1865 E Belvidere Rd,
Grayslake, IL 60030-2218
(919) 424-4312
Not Available

Map and Direction




Healthcare Provider's Profile

Full NameLegacy Healthcare Services Inc
TypeFacility
SpecialityPhysical Therapist
Location1865 E Belvidere Rd, Grayslake, Illinois
Accepts Medicare AssignmentsMedicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1689141376
  • Provider Enumeration Date: 10/31/2018
  • Last Update Date: 08/06/2021
  Medicare PECOS Information:
  • PECOS PAC ID: 2163339722
  • Enrollment ID: O20200427002510

Medical Identifiers

Medical identifiers for Legacy Healthcare Services Inc such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1689141376NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
235Z00000XSpeech-language Pathologist (* (Not Available))Secondary
225X00000XOccupational Therapist (* (Not Available))Secondary
225100000XPhysical Therapist (* (Not Available))Primary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Legacy Healthcare Services Inc acts as a billing entity for following providers:
Provider NameCaroline D Copeland
Provider TypePractitioner - Occupational Therapist In Private Practice
Provider IdentifiersNPI Number: 1730492125
PECOS PAC ID: 9335040385
Enrollment ID: I20040114000348
Provider NameKelan Patel
Provider TypePractitioner - Occupational Therapist In Private Practice
Provider IdentifiersNPI Number: 1720469307
PECOS PAC ID: 6608858295
Enrollment ID: I20040607000614
Provider NameKristen B Kruse
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1609984244
PECOS PAC ID: 8921018979
Enrollment ID: I20060504000526
Provider NameDiane Myers
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1629233267
PECOS PAC ID: 0941376560
Enrollment ID: I20080905000287
Provider NameFaten Shaabneh
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1902970643
PECOS PAC ID: 0547328908
Enrollment ID: I20081029000393
Provider NameKassandra Mapel
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1336393925
PECOS PAC ID: 6507928728
Enrollment ID: I20081223000273
Provider NameRebecca A Fries
Provider TypePractitioner - Occupational Therapist In Private Practice
Provider IdentifiersNPI Number: 1144455155
PECOS PAC ID: 7517016322
Enrollment ID: I20090528000176
Provider NameMarie Ceanette C Eugenio
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1861606931
PECOS PAC ID: 6002941309
Enrollment ID: I20100311000693
Provider NameAdrienne Klein
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1730304056
PECOS PAC ID: 3971634734
Enrollment ID: I20100623000680
Provider NameTracie P Barwick
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1407179930
PECOS PAC ID: 3072707595
Enrollment ID: I20101028001260
Provider NameAimee A Kameron
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1801187919
PECOS PAC ID: 8628256310
Enrollment ID: I20110628000710
Provider NameShailaja S Kanal
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1235338633
PECOS PAC ID: 0941457881
Enrollment ID: I20120828000268
Provider NameSheryl B Bucasas
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1629327838
PECOS PAC ID: 0446495386
Enrollment ID: I20130326000381
Provider NameAmy J. Vant
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1841505880
PECOS PAC ID: 3375780083
Enrollment ID: I20130516000124
Provider NameRia C Malonzo
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1619383908
PECOS PAC ID: 5092931733
Enrollment ID: I20140801000434
Provider NameJanelle Dittrich
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1326331398
PECOS PAC ID: 5698090207
Enrollment ID: I20150202001253
Provider NameKelly J Pagnucci
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1063650323
PECOS PAC ID: 8224337993
Enrollment ID: I20160502000625
Provider NameChristina Beckstrom
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1295100329
PECOS PAC ID: 8820371180
Enrollment ID: I20170210000958
Provider NameKathryn Kristine Kusnik
Provider TypePractitioner - Occupational Therapist In Private Practice
Provider IdentifiersNPI Number: 1073054300
PECOS PAC ID: 3476838780
Enrollment ID: I20170329002189
Provider NameSandra E Scanlan
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1871905240
PECOS PAC ID: 5991064586
Enrollment ID: I20180104000420
Provider NameSara D Bell
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1639488521
PECOS PAC ID: 2365701711
Enrollment ID: I20180111000454
Provider NameSonal V Patel
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1982955423
PECOS PAC ID: 8527322197
Enrollment ID: I20180507001793
Provider NameMaleah J Merline
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1942783071
PECOS PAC ID: 3577815778
Enrollment ID: I20181017001159
Provider NameEric S Forst
Provider TypePractitioner - Qualified Speech Language Pathologist
Provider IdentifiersNPI Number: 1073172995
PECOS PAC ID: 9335473214
Enrollment ID: I20190626002585
Provider NameJason Villanueva
Provider TypePractitioner - Occupational Therapist In Private Practice
Provider IdentifiersNPI Number: 1699241455
PECOS PAC ID: 5496182750
Enrollment ID: I20200226000733
Provider NameRose Anne M Borlat
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1962041293
PECOS PAC ID: 7214367572
Enrollment ID: I20200429000188
Provider NameHolly Lynn Yanzer
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1134647902
PECOS PAC ID: 4587903828
Enrollment ID: I20200520000952
Provider NameChristine S Cooke
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1366062929
PECOS PAC ID: 7810318961
Enrollment ID: I20200528002048
Provider NameMelissa M Dzugan
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1295358091
PECOS PAC ID: 8820410699
Enrollment ID: I20200624001097
Provider NameKristin Hauser
Provider TypePractitioner - Occupational Therapist In Private Practice
Provider IdentifiersNPI Number: 1285944892
PECOS PAC ID: 1052738101
Enrollment ID: I20200903001282
Provider NameLydia A Wylie
Provider TypePractitioner - Qualified Speech Language Pathologist
Provider IdentifiersNPI Number: 1497389183
PECOS PAC ID: 9830518539
Enrollment ID: I20200930000257
Provider NameMatthew John Warren
Provider TypePractitioner - Occupational Therapist In Private Practice
Provider IdentifiersNPI Number: 1790140093
PECOS PAC ID: 8729491402
Enrollment ID: I20210120000576
Provider NameHeather L Fisher
Provider TypePractitioner - Occupational Therapist In Private Practice
Provider IdentifiersNPI Number: 1780858712
PECOS PAC ID: 0749689016
Enrollment ID: I20210519001637
Provider NameMagda Jancek
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1568131167
PECOS PAC ID: 2264839075
Enrollment ID: I20210921003479
Provider NameSybil Palmer
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1255000824
PECOS PAC ID: 2466859038
Enrollment ID: I20210923002981
Provider NameCristina C Ponce
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1184855256
PECOS PAC ID: 5698172104
Enrollment ID: I20210927001796
Provider NameAmy D Pollack
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1386958924
PECOS PAC ID: 8527466846
Enrollment ID: I20211018000250
Provider NameKevin Campos
Provider TypePractitioner - Occupational Therapist In Private Practice
Provider IdentifiersNPI Number: 1992471544
PECOS PAC ID: 8820487242
Enrollment ID: I20211105000070
Provider NameJessica Pasowicz
Provider TypePractitioner - Occupational Therapist In Private Practice
Provider IdentifiersNPI Number: 1275291338
PECOS PAC ID: 4385037886
Enrollment ID: I20220204001363
Provider NameMaria R Dizon
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1386840965
PECOS PAC ID: 3678966843
Enrollment ID: I20220210002268
Provider NameMichele Blidy
Provider TypePractitioner - Occupational Therapist In Private Practice
Provider IdentifiersNPI Number: 1285104844
PECOS PAC ID: 0446647507
Enrollment ID: I20220423000081
Provider NameLaura A Flahaven
Provider TypePractitioner - Qualified Speech Language Pathologist
Provider IdentifiersNPI Number: 1396083572
PECOS PAC ID: 5698158871
Enrollment ID: I20220822000953
Provider NameLaura Chiu
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1104946474
PECOS PAC ID: 1951787159
Enrollment ID: I20220926000881
Provider NameCaitlin Fritz
Provider TypePractitioner - Qualified Speech Language Pathologist
Provider IdentifiersNPI Number: 1407186182
PECOS PAC ID: 1557737848
Enrollment ID: I20221011001686
Provider NameMeera Shah
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1881057982
PECOS PAC ID: 1951779412
Enrollment ID: I20221115001640
Provider NameNatalie Rae Sipole
Provider TypePractitioner - Qualified Speech Language Pathologist
Provider IdentifiersNPI Number: 1932691144
PECOS PAC ID: 2860865391
Enrollment ID: I20230303002171
Provider NameAngelica M Leoncio
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1407104318
PECOS PAC ID: 3173984432
Enrollment ID: I20230802002940
Provider NameMargret Anne Schierberl
Provider TypePractitioner - Qualified Speech Language Pathologist
Provider IdentifiersNPI Number: 1124559125
PECOS PAC ID: 8426412040
Enrollment ID: I20230915001138
Provider NameMichelle Christine Sison
Provider TypePractitioner - Qualified Speech Language Pathologist
Provider IdentifiersNPI Number: 1275068728
PECOS PAC ID: 5395191670
Enrollment ID: I20231023001781
Provider NameCaroline Borja
Provider TypePractitioner - Occupational Therapist In Private Practice
Provider IdentifiersNPI Number: 1669743902
PECOS PAC ID: 5294181442
Enrollment ID: I20231025001322
Provider NameHaley Fotopoulos
Provider TypePractitioner - Occupational Therapist In Private Practice
Provider IdentifiersNPI Number: 1184269086
PECOS PAC ID: 3779939657
Enrollment ID: I20231030000589
Provider NameCollin Barber
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1427672732
PECOS PAC ID: 1153741376
Enrollment ID: I20240208003753
Provider NameRyan Caguia
Provider TypePractitioner - Occupational Therapist In Private Practice
Provider IdentifiersNPI Number: 1386096311
PECOS PAC ID: 8325483001
Enrollment ID: I20240304003535
Provider NameLaima Nakvosiene
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1578220281
PECOS PAC ID: 1557707478
Enrollment ID: I20240313002433
Provider NameAndrea Johanne Molen Lena
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1740922988
PECOS PAC ID: 1850738360
Enrollment ID: I20240320000805
Provider NameSmitha Elizabeth Mathews
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1265689343
PECOS PAC ID: 3476990995
Enrollment ID: I20240320000929
Provider NameGerard Balgos Susmena
Provider TypePractitioner - Occupational Therapist In Private Practice
Provider IdentifiersNPI Number: 1134362981
PECOS PAC ID: 2365889714
Enrollment ID: I20240321002247
Provider NameAlicia Marie Wall
Provider TypePractitioner - Qualified Speech Language Pathologist
Provider IdentifiersNPI Number: 1114208238
PECOS PAC ID: 0244679959
Enrollment ID: I20240415001580
Provider NameMary Kathryn Warchol
Provider TypePractitioner - Qualified Speech Language Pathologist
Provider IdentifiersNPI Number: 1649667916
PECOS PAC ID: 8820438831
Enrollment ID: I20240424001842
Provider NameToni Rose Felipe Balaza
Provider TypePractitioner - Occupational Therapist In Private Practice
Provider IdentifiersNPI Number: 1851926281
PECOS PAC ID: 2264974898
Enrollment ID: I20240611000156
Provider NameAlexandra Morvai
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1891409751
PECOS PAC ID: 7315481181
Enrollment ID: I20240703002584
Provider NameShomari Burton
Provider TypePractitioner - Occupational Therapist In Private Practice
Provider IdentifiersNPI Number: 1386053478
PECOS PAC ID: 8820533359
Enrollment ID: I20240709002984
Provider NameJoseph M Hill
Provider TypePractitioner - Occupational Therapist In Private Practice
Provider IdentifiersNPI Number: 1598989469
PECOS PAC ID: 4587109293
Enrollment ID: I20240717001725
Provider NameCynthia Marie Everhart
Provider TypePractitioner - Occupational Therapist In Private Practice
Provider IdentifiersNPI Number: 1194338830
PECOS PAC ID: 6103365374
Enrollment ID: I20240902000155
Provider NameDanielle Marie Peterson
Provider TypePractitioner - Qualified Speech Language Pathologist
Provider IdentifiersNPI Number: 1003345489
PECOS PAC ID: 6406387752
Enrollment ID: I20240927000908
Provider NameMagdalena Maria Pajak
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1154157790
PECOS PAC ID: 9537691167
Enrollment ID: I20241021000978
Provider NameRebecca Stasiek
Provider TypePractitioner - Occupational Therapist In Private Practice
Provider IdentifiersNPI Number: 1770706970
PECOS PAC ID: 4688106115
Enrollment ID: I20241022001897
Provider NameKristin Joy Smith
Provider TypePractitioner - Qualified Speech Language Pathologist
Provider IdentifiersNPI Number: 1487473120
PECOS PAC ID: 3971036112
Enrollment ID: I20241028000765
Provider NameEmily Beaver
Provider TypePractitioner - Occupational Therapist In Private Practice
Provider IdentifiersNPI Number: 1013793249
PECOS PAC ID: 0941733802
Enrollment ID: I20241030002800
Provider NameElizabeth Fuentes
Provider TypePractitioner - Qualified Speech Language Pathologist
Provider IdentifiersNPI Number: 1548585300
PECOS PAC ID: 1254864952
Enrollment ID: I20241104000379
Provider NameCallie Labreche Leisten
Provider TypePractitioner - Qualified Speech Language Pathologist
Provider IdentifiersNPI Number: 1629896709
PECOS PAC ID: 4587198155
Enrollment ID: I20241106000292
Provider NameLaura Hillstrom
Provider TypePractitioner - Qualified Speech Language Pathologist
Provider IdentifiersNPI Number: 1699152371
PECOS PAC ID: 0446784029
Enrollment ID: I20241106000900
Provider NameLindsay E Kuehl
Provider TypePractitioner - Occupational Therapist In Private Practice
Provider IdentifiersNPI Number: 1962535393
PECOS PAC ID: 9537693015
Enrollment ID: I20241106000931
Provider NameEmilia Ann Durkin
Provider TypePractitioner - Occupational Therapist In Private Practice
Provider IdentifiersNPI Number: 1285478842
PECOS PAC ID: 8224562772
Enrollment ID: I20241106004076
Provider NameGenie Cynthia Guerra
Provider TypePractitioner - Qualified Speech Language Pathologist
Provider IdentifiersNPI Number: 1902628688
PECOS PAC ID: 8628502861
Enrollment ID: I20241112000644
Provider NameDonika Asaulenko
Provider TypePractitioner - Qualified Speech Language Pathologist
Provider IdentifiersNPI Number: 1659736510
PECOS PAC ID: 4981138039
Enrollment ID: I20241112001182
Provider NameAnna Armatys
Provider TypePractitioner - Occupational Therapist In Private Practice
Provider IdentifiersNPI Number: 1972298248
PECOS PAC ID: 5799219853
Enrollment ID: I20241112001727
Provider NameCynthia Moreno
Provider TypePractitioner - Qualified Speech Language Pathologist
Provider IdentifiersNPI Number: 1407179054
PECOS PAC ID: 9739613605
Enrollment ID: I20241114002302
Provider NameJennifer Minniear
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1881304921
PECOS PAC ID: 2062946940
Enrollment ID: I20241114002893
Provider NameRebecca Rose Anderson
Provider TypePractitioner - Occupational Therapist In Private Practice
Provider IdentifiersNPI Number: 1083366595
PECOS PAC ID: 7416482146
Enrollment ID: I20241119000643
Provider NameGrace Elaine Del Rosario
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1720704265
PECOS PAC ID: 1850826421
Enrollment ID: I20241120001514
Provider NameKaren Cusack
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1871759399
PECOS PAC ID: 9335674852
Enrollment ID: I20241121000042
Provider NameJensen Dringoli
Provider TypePractitioner - Occupational Therapist In Private Practice
Provider IdentifiersNPI Number: 1114658457
PECOS PAC ID: 0042745457
Enrollment ID: I20241121004506
Provider NameDianne Moyer
Provider TypePractitioner - Qualified Speech Language Pathologist
Provider IdentifiersNPI Number: 1629604715
PECOS PAC ID: 0749715183
Enrollment ID: I20241122000744
Provider NameMadalinn Thibodeau
Provider TypePractitioner - Qualified Speech Language Pathologist
Provider IdentifiersNPI Number: 1417427006
PECOS PAC ID: 3173058450
Enrollment ID: I20241122002885
Provider NameJeanne Marie Le
Provider TypePractitioner - Occupational Therapist In Private Practice
Provider IdentifiersNPI Number: 1396168126
PECOS PAC ID: 9739614983
Enrollment ID: I20241125001467
Provider NameMichelle Brunner Los
Provider TypePractitioner - Qualified Speech Language Pathologist
Provider IdentifiersNPI Number: 1437794559
PECOS PAC ID: 8628503885
Enrollment ID: I20241125001598
Provider NameTanya N Tepen
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1013377266
PECOS PAC ID: 6305371568
Enrollment ID: I20241125001822
Provider NameFerdinand Bundang
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1538414990
PECOS PAC ID: 5294260469
Enrollment ID: I20241125001947
Provider NameJacqueline D Stroud
Provider TypePractitioner - Occupational Therapist In Private Practice
Provider IdentifiersNPI Number: 1134442601
PECOS PAC ID: 9133654304
Enrollment ID: I20241125002169
Provider NameBridget Kathryn Corrigan
Provider TypePractitioner - Qualified Speech Language Pathologist
Provider IdentifiersNPI Number: 1154162303
PECOS PAC ID: 5991230112
Enrollment ID: I20241126000036
Provider NameRichard John O'donnell
Provider TypePractitioner - Occupational Therapist In Private Practice
Provider IdentifiersNPI Number: 1760902795
PECOS PAC ID: 7618326885
Enrollment ID: I20241126000059
Provider NameTracy Bowman
Provider TypePractitioner - Qualified Speech Language Pathologist
Provider IdentifiersNPI Number: 1316456932
PECOS PAC ID: 6507391646
Enrollment ID: I20241126000986
Provider NameRobin E. Kolar
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1598029894
PECOS PAC ID: 9133654007
Enrollment ID: I20241202001579
Provider NameMaria Carla M. Milan
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1538334529
PECOS PAC ID: 2365977238
Enrollment ID: I20241202001801
Provider NameSara Simpson
Provider TypePractitioner - Occupational Therapist In Private Practice
Provider IdentifiersNPI Number: 1003161977
PECOS PAC ID: 4688100407
Enrollment ID: I20241204000214
Provider NameCory A Nellis
Provider TypePractitioner - Occupational Therapist In Private Practice
Provider IdentifiersNPI Number: 1750637567
PECOS PAC ID: 4789110792
Enrollment ID: I20241212003962
Provider NameCarly Jean Carlisle
Provider TypePractitioner - Occupational Therapist In Private Practice
Provider IdentifiersNPI Number: 1932634714
PECOS PAC ID: 7810423746
Enrollment ID: I20241216000685
Provider NameLisa Michelle Mcintosh-leach
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1780816124
PECOS PAC ID: 1052848256
Enrollment ID: I20241230003007
Provider NameAlexis R Kwasniewicz
Provider TypePractitioner - Occupational Therapist In Private Practice
Provider IdentifiersNPI Number: 1760157978
PECOS PAC ID: 9537565676
Enrollment ID: I20250110000119
Provider NameVictoria Grudzien
Provider TypePractitioner - Qualified Speech Language Pathologist
Provider IdentifiersNPI Number: 1720896152
PECOS PAC ID: 1951839042
Enrollment ID: I20250117000814
Provider NameMary Nina Almarines Punzalan
Provider TypePractitioner - Occupational Therapist In Private Practice
Provider IdentifiersNPI Number: 1184274292
PECOS PAC ID: 1355871468
Enrollment ID: I20250204003968
Provider NameMelissa Susan Nielsen
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1255403424
PECOS PAC ID: 0345762589
Enrollment ID: I20250318001414
Provider NameFionna Adah Alferez Mendoza
Provider TypePractitioner - Occupational Therapist In Private Practice
Provider IdentifiersNPI Number: 1073880829
PECOS PAC ID: 7113441403
Enrollment ID: I20250408002354
Provider NameElizabeth E Parker
Provider TypePractitioner - Qualified Speech Language Pathologist
Provider IdentifiersNPI Number: 1073864336
PECOS PAC ID: 8820512981
Enrollment ID: I20250410000438
Provider NameDiana Maria Vanstedum
Provider TypePractitioner - Qualified Speech Language Pathologist
Provider IdentifiersNPI Number: 1144847237
PECOS PAC ID: 3476078593
Enrollment ID: I20250421002831
Provider NameLynette Kentgen
Provider TypePractitioner - Qualified Speech Language Pathologist
Provider IdentifiersNPI Number: 1285838441
PECOS PAC ID: 4688941446
Enrollment ID: I20250602001081

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. Legacy Healthcare Services Inc 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 AddressPractice Location Address
Legacy Healthcare Services Inc
110 Horizon Dr Ste 310,
Raleigh, NC 27615-4926

Ph: (919) 424-5080
Legacy Healthcare Services Inc
1865 E Belvidere Rd,
Grayslake, IL 60030-2218

Ph: (919) 424-4312

Reviews and Comments


Physical Therapist in Grayslake, IL

Anica Rebollar, PT, DPT
Physical Therapist
Medicare: Not Enrolled in Medicare
Practice Location: 31 S Seymour Ave Ste H, Grayslake, IL 60030
Phone: 224-252-2999    
Natalie Marie Trytko, DPT
Physical Therapist
Medicare: Not Enrolled in Medicare
Practice Location: 1475 E Belvidere Rd, Grayslake, IL 60030
Phone: 630-933-1500    
Taylor Lynn Kramer, DPT
Physical Therapist
Medicare: Medicare Enrolled
Practice Location: 1475 E Belvidere Rd Ste 185, Grayslake, IL 60030
Phone: 224-271-6406    
Mr. Edward J Galarza Jr., BS PT
Physical Therapist
Medicare: Accepting Medicare Assignments
Practice Location: 1585 Lupine Ct, Grayslake, IL 60030
Phone: 773-294-0647    
Mrs. Jenna R Cohn, PT, DPT
Physical Therapist
Medicare: Medicare Enrolled
Practice Location: 997 N Corporate Circle, Suite B, Grayslake, IL 60030
Phone: 847-223-8001    Fax: 847-986-3580
Sheila Posedel, PT
Physical Therapist
Medicare: Not Enrolled in Medicare
Practice Location: 1475 E Belvidere Rd Ste 185, Grayslake, IL 60030
Phone: 847-535-8833    
Miss Jenna M Fulks, PT, DPT
Physical Therapist
Medicare: Medicare Enrolled
Practice Location: 997 N Corporate Cir Ste B, Grayslake, IL 60030
Phone: 847-223-8001    Fax: 847-986-3580

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.