Mr Larry Luke Panozzo Jr, CCC-SLP in Joliet, IL - Medicare Speech-Language Pathologist Provider

Mr Larry Luke Panozzo Jr, CCC-SLP is a medicare enrolled "Speech-language Pathologist" provider in Joliet, Illinois. His current practice location is 2203 Pembridge Ln, Joliet, Illinois. You can reach out to his office (for appointments etc.) via phone at (815) 409-8301.

Mr Larry Luke Panozzo Jr is licensed to practice in Illinois (license number 12125459) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1811143506.

Contact Information

	Mr Larry Luke Panozzo Jr, CCC-SLP
	2203 Pembridge Ln, Joliet, IL 60431-7731
	(815) 409-8301
	(815) 267-8505

Map and Direction

Healthcare Provider's Profile

Full Name	Mr Larry Luke Panozzo Jr
Gender	Male
Speciality	Speech-language Pathologist
Location	2203 Pembridge Ln, Joliet, Illinois
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1811143506
Provider Enumeration Date: 08/13/2008
Last Update Date: 01/03/2025

Medicare PECOS Information:

PECOS PAC ID: 5496884488
Enrollment ID: I20100601000627

Medical Identifiers

Medical identifiers for Mr Larry Luke Panozzo Jr such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1811143506	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
235Z00000X	Speech-language Pathologist	12125459 (Illinois)	Primary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Mr Larry Luke Panozzo Jr allows following entities to bill medicare on his behalf.

Provider Name	Fox Rehabilitation Services Il Llc
Provider Type	Part B Supplier - Physical/occupational Therapy Group In Private Practice
Provider Identifiers	NPI Number: 1114443462 PECOS PAC ID: 8224379763 Enrollment ID: O20190409003124

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. Mr Larry Luke Panozzo Jr 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 Address	Practice Location Address
Mr Larry Luke Panozzo Jr, CCC-SLP 18500 Bellagio Cir, Tinley Park, IL 60477-4459 Ph: (708) 533-1080	Mr Larry Luke Panozzo Jr, CCC-SLP 2203 Pembridge Ln, Joliet, IL 60431-7731 Ph: (815) 409-8301

Reviews and Comments

Speech-Language Pathologist in Joliet, IL

Mary Lynn Sweatt, Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 2423 Glenwood Ave, Joliet, IL 60435 Phone: 815-725-9992 Fax: 815-725-9993
Mrs. Tintu Elsa Abraham, MSC Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 2423 Glenwood Ave, Joliet, IL 60435 Phone: 815-725-9992 Fax: 815-725-9993
Mary Mcloughlin, Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 306 N Larkin Ave, Joliet, IL 60435 Phone: 815-744-5560
Elizabeth Marie Phillips, MS, CCC-SLP/L Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 2132 W Jefferson St, Joliet, IL 60435 Phone: 817-741-7114
Jessica Byczynski, M.S., CCC-SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 306 N Larkin Ave, Joliet, IL 60435 Phone: 815-744-5560
Mrs. Diane Marie Barnes-maguire, Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 350 Houbolt Rd, Joliet, IL 60431 Phone: 815-725-9992 Fax: 815-725-9993
Katie Fischer, MA CCC-SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 306 N Larkin Ave, Joliet, IL 60435 Phone: 815-744-8983

Mr Larry Luke Panozzo Jr, CCC-SLP - Medicare Speech-Language Pathologist in Joliet, IL