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Alicia Marie Wall , CCC-SLP

Speech-Language Pathologist β€’ Mokena, IL

Active NPI 1114208238 Individual Practitioner Female Practitioner Accepts Medicare assignment
Practice location in NPPES

19309 Beaver Creek Ln
Mokena, IL 604488251

Call 7086502106 Location details and other listings
Medical Disclaimer

This profile restates public CMS/NPPES data; T-MedInfo gives no medical advice — consult a licensed professional, and call 911 for emergencies.

Practice Location & Contact Primary Location

Practice Address

19309 Beaver Creek Ln

Mokena, IL 604488251

Telephone 7086502106
Organization at the Same NPPES Address or Phone
Credo Therapy Pllc Facility NPI 1023888237

Matched by practice address or phone in NPPES. A shared address or phone does not confirm that this clinician works there.

Other Listings in Public Data

CMS Doctors and Clinicians lists 1 group name: Legacy Healthcare Services Inc. See the list

Source: CMS Doctors and Clinicians National Downloadable File, release date unavailable.

Listings do not confirm current availability, employment or a shared ownership network.

Medicare Profile & Education

Source: CMS Doctors and Clinicians National Downloadable File

Graduation Year

2011

Years since graduation

15 years (graduated 2011)

CMS Doctors and Clinicians data list 2011 as the year this clinician finished professional school.

What this does not show: Years since graduation

It is not the number of years in practice, and more years does not mean better care.

Source: CMS Doctors and Clinicians National Downloadable File.

NPI first issued

2011

The year this clinician's National Provider Identifier (NPI) was issued. An NPI is a unique 10-digit ID that US health care providers use for billing.

What this does not show: NPI first issued

NPIs have been issued only since 2005, so this year is not necessarily when the clinician started practicing.

Source: CMS NPPES NPI Registry.

Accepts Medicare assignment

CMS data list this clinician as accepting Medicare assignment. This means agreeing to take the Medicare-approved amount as full payment for covered services.

Medicare assignment applies to Original Medicare. It does not tell you whether the clinician is in a Medicare Advantage plan's network, accepts other insurance, or is taking new patients.

Source: CMS Doctors and Clinicians; Medicare.gov, β€œDoes your provider accept Medicare as full payment?”

Guide: What Medicare assignment means

No telehealth indicator

CMS shows this indicator only when recent Medicare claims include telehealth services. The clinician may still offer telehealth; ask the office.

Source: CMS, Telehealth Indicator on Medicare Care Compare (fact sheet, January 2023); CMS Doctors and Clinicians.

Guide: How Medicare covers telehealth

Enrolled in Medicare (PECOS)

Alicia Wall has a Medicare enrollment record in PECOS, the CMS system clinicians use to enroll so they can bill Medicare or order services for people with Medicare.

It does not show whether the clinician accepts assignment, is in your plan's network, or is taking new patients.

Source: CMS Medicare Fee-For-Service Public Provider Enrollment (PECOS); CMS Order and Referring file.

Guide: What Medicare enrollment (PECOS) means

Compared with the same specialty in Mokena and Illinois

44 active clinicians are listed under Speech-Language Pathologist with a practice address in Mokena, IL (10,226 in Illinois).

Addresses are self-reported to NPPES and may be out of date.

Telehealth indicator in Mokena

0% of these 44 clinicians have the CMS telehealth indicator.

6.8% of these 44 clinicians are listed by CMS as accepting Medicare assignment.

Sources: CMS Doctors and Clinicians, CMS NPPES NPI Registry. Specialty names follow the NUCC Health Care Provider Taxonomy.

Text: T-MedInfo Β· Report an error.

Specialties & License Numbers Reported to NPPES

Self-certified to NPPES: 2024-09-28
Speech-Language Pathologist Primary Specialty

NUCC Taxonomy Code: 235Z00000X

The speech-language pathologist is the professional who engages in clinical services, prevention, advocacy, education, administration, and research in the areas of communication and swallowing across the life span from infancy through geriatrics. Speech-language pathologists address typical and atypical impairments and disorders related to communication and swallowing in the areas of speech sound production, resonance, voice, fluency, language (comprehension and expression), cognition, and feeding and swallowing.

Check License Status with the State Board License numbers are self-reported to NPPES; T-MedInfo does not confirm them against state records. Current status: Illinois Department of Financial and Professional Regulation.
Look Up on State Board Site

Medicare (PECOS) Enrollment & Ordering Eligibility

Source: CMS PECOS
Medicare FFS Enrollment Status Medicare Enrollment on File
CMS Provider Specialty

PRACTITIONER - QUALIFIED SPEECH LANGUAGE PATHOLOGIST

Medicare Enrollment ID

I20240415001580

Enrollment State Jurisdiction

IL

PECOS Control ID

0244679959

Sources: CMS Provider Enrollment and Order and Referring. Medicare enrollment is a billing status, not an accreditation or quality rating.

Medicare Group Practice Enrollments

Source: CMS Doctors and Clinicians National Downloadable File

Legacy Healthcare Services Inc

16 W301, Burr Ridge, IL 605276368

Phone: 6305685479

Career & Practice History Timeline

Changes recorded in monthly NPPES data files: addresses, names, credentials, specialties and NPI status

14 Historical Events
πŸ“
Updated Practice Location September 28, 2024

Registered at 19309 BEAVER CREEK LN, MOKENA, IL 604488251 (Tel: 7086502106)

πŸ“
Updated Business Mailing Address September 28, 2024

Registered at 19309 BEAVER CREEK LN, MOKENA, IL 604488251

πŸ“
Updated Practice Location January 08, 2024

Registered at 10334 S 84TH AVE, PALOS HILLS, IL 604651702 (Tel: 7086502106)

πŸ“
Updated Business Mailing Address January 08, 2024

Registered at 10334 S 84TH AVE, PALOS HILLS, IL 604651702

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) January 08, 2024

Speech-Language Pathologist

πŸ“
Updated Practice Location October 14, 2021

Registered at 11360 DOUBLE BRIDLE TER, SAN DIEGO, CA 921306951 (Tel: 7086502106)

πŸ“
Updated Business Mailing Address October 14, 2021

Registered at 11360 DOUBLE BRIDLE TER, SAN DIEGO, CA 921306951

πŸ‘€
Provider Name / Credentials Updated October 14, 2021

Recorded as ALICIA WALL, CCC-SLP

βœ…
NPI Profile Active September 01, 2011

NPI status registered as active in NPPES database

πŸ“
Practice Location (Initial Record) September 01, 2011

Registered at 2781 OSBORN DR, LAKE HAVASU CITY, AZ 864068629 (Tel: 9285055552)

πŸ“
Business Mailing Address (Initial Record) September 01, 2011

Registered at 2212 KIOWA BLVD N, UNIT 206, LAKE HAVASU CITY, AZ 864032543

πŸ‘€
Provider Name / Credentials (Initial Record) September 01, 2011

Recorded as ALICIA CIKOWSKI, SLP-CFY

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) September 01, 2011

Speech-Language Pathologist (license number reported to NPPES: AZ TSLP7300)

🟒
Initial NPI Registration & Enumeration September 01, 2011

First registered as active Individual Practitioner in NPPES Database.

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NPI Administrative Meta

NPI Number: 1114208238
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: September 01, 2011
Last Update: September 28, 2024
Sole Proprietor: No

Mailing Address

19309 Beaver Creek Ln

Mokena, IL 604488251

About This Data NPPES fields (address, phone, specialty, license) are self-reported and may be outdated; Medicare fields follow the CMS dataset named in each section. Correct directly at NPPES.