| Mrs Jill Axtell, MS, CCC-SLP | |
|
411 N Lakeview Ave, Anaheim, CA 92807-3028 | |
| (714) 279-4125 | |
| Not Available |
| Full Name | Mrs Jill Axtell |
|---|---|
| Gender | Female |
| Speciality | Qualified Speech Language Pathologist |
| Experience | 26 Years |
| Location | 411 N Lakeview Ave, Anaheim, California |
| 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 |
|---|---|---|---|
| 1174742175 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 235Z00000X | Speech-language Pathologist | 12251 (California) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Southern California Permanente Medical Group | 6002729175 | 11244 |
| Provider Name | Southern California Permanente Medical Group |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1770515280 PECOS PAC ID: 6002729175 Enrollment ID: O20031110000678 |
| Mailing Address | Practice Location Address |
|---|---|
| Mrs Jill Axtell, MS, CCC-SLP 17982 Prado Cir, Villa Park, CA 92861-4508 Ph: (714) 279-4125 | Mrs Jill Axtell, MS, CCC-SLP 411 N Lakeview Ave, Anaheim, CA 92807-3028 Ph: (714) 279-4125 |
Kentessa Birner, Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 160 S Old Springs Rd, Suite 100, Anaheim, CA 92808 Phone: 714-282-8852 Fax: 714-282-8876 | |
Ms. Sarah Yi, CCC-SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 217 W Cerritos Ave, Anaheim, CA 92805 Phone: 714-776-1231 | |
Courtney Lezama, M.A., CCC-SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 841 S Sunkist St, Anaheim, CA 92806 Phone: 714-517-8923 | |
Ashley Lynn Potthoff, M.S. CCC-SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 501 N Crescent Way, Anaheim, CA 92801 Phone: 714-999-3511 | |
Christopher Truong, Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 501 N Crescent Way, Anaheim, CA 92801 Phone: 714-999-3511 | |
Elizabeth Welsh, Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 1360 S Anaheim Blvd Ste 150, Anaheim, CA 92805 Phone: 714-776-1231 | |
Courtney Giese, Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 1001 S East St, Anaheim, CA 92805 Phone: 714-517-7500 |