| Nicole Weiss, SLP | |
|
9000 W Sura Ln, Greenfield, WI 53228-3477 | |
| (414) 246-6800 | |
| Not Available |
| Full Name | Nicole Weiss |
|---|---|
| Gender | Female |
| Speciality | Speech-language Pathologist |
| Location | 9000 W Sura Ln, Greenfield, Wisconsin |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1447094727 | NPI | - | NPPES |
| 100281571 | Medicaid | WI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 235Z00000X | Speech-language Pathologist | 6628 (Wisconsin) | Primary |
| Provider Name | Aurora Medical Group, Inc. |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1427271378 PECOS PAC ID: 6709794258 Enrollment ID: O20031105000725 |
| Provider Name | Lakeshore Medical Clinic Llc |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1003861188 PECOS PAC ID: 7719890730 Enrollment ID: O20031106000481 |
| Provider Name | Aurora Advanced Healthcare, Inc. |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1265629133 PECOS PAC ID: 3375625833 Enrollment ID: O20080123000694 |
| Mailing Address | Practice Location Address |
|---|---|
| Nicole Weiss, SLP Po Box 735044, Chicago, IL 60673-5044 Ph: (800) 326-2250 | Nicole Weiss, SLP 9000 W Sura Ln, Greenfield, WI 53228-3477 Ph: (414) 246-6800 |
Ms. Jeannie Marie Stroh, MS, CCC-SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 3939 S 92nd St, Greenfield, WI 53228 Phone: 414-321-1800 Fax: 414-546-1825 | |
Kelly Marie Liebergen, Speech-Language Pathologist Medicare: Medicare Enrolled Practice Location: 9000 W Sura Ln, Greenfield, WI 53228 Phone: 414-246-6800 | |
Pa Kou Vang, SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 4500 W Loomis Rd, Greenfield, WI 53220 Phone: 414-325-5300 | |
Ms. Yvonne Elizabeth Petersen-zich, M.S. Speech-Language Pathologist Medicare: Medicare Enrolled Practice Location: 3939 S 92nd St, Greenfield, WI 53228 Phone: 414-546-7345 | |
Miss Deanna M Giudice, M.S., SLP-CFY Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 5700 W. Layton Ave, Mt. Carmel, Greenfield, WI 53220 Phone: 414-281-7200 | |
Lois M Hornung, SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 5700 W Layton Ave, Greenfield, WI 53220 Phone: 414-281-7200 | |
Tara Kenyon, MS Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 5700 W Layton Ave, Greenfield, WI 53220 Phone: 414-325-4069 |