Mrs Jill Axtell, MS, CCC-SLP - Medicare Speech-Language Pathologist in Anaheim, CA

Mrs Jill Axtell, MS, CCC-SLP is a medicare enrolled "Speech-language Pathologist" provider in Anaheim, California. Her current practice location is 411 N Lakeview Ave, Anaheim, California. You can reach out to her office (for appointments etc.) via phone at (714) 279-4125.

Mrs Jill Axtell is licensed to practice in California (license number 12251) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1174742175.

Contact Information

Mrs Jill Axtell, MS, CCC-SLP
411 N Lakeview Ave,
Anaheim, CA 92807-3028
(714) 279-4125
Not Available



Healthcare Provider's Profile

Full NameMrs Jill Axtell
GenderFemale
SpecialitySpeech-language Pathologist
Location411 N Lakeview Ave, Anaheim, California
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1174742175
  • Provider Enumeration Date: 04/25/2007
  • Last Update Date: 12/01/2021
  Medicare PECOS Information:
  • PECOS PAC ID: 3072645902
  • Enrollment ID: I20100713000267

Medical Identifiers

Medical identifiers for Mrs Jill Axtell such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1174742175NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
235Z00000XSpeech-language Pathologist 12251 (California)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. Mrs Jill Axtell allows following entities to bill medicare on her behalf.
Provider NameSouthern California Permanente Medical Group
Provider TypePart B Supplier - Clinic/group Practice
Provider IdentifiersNPI Number: 1770515280
PECOS PAC ID: 6002729175
Enrollment ID: O20031110000678

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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. Mrs Jill Axtell 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
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

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Speech-Language Pathologist in Anaheim, CA

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: Medicare Enrolled
Practice Location: 217 W Cerritos Ave, Anaheim, CA 92805
Phone: 714-776-1231    
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    
Ms. Deborah Fung Wai Lau, M.A..
Speech-Language Pathologist
Medicare: Not Enrolled in Medicare
Practice Location: 217 W Cerritos Ave, Anaheim, CA 92805
Phone: 714-776-1231    Fax: 714-776-0802
Katelyn Dean,
Speech-Language Pathologist
Medicare: Not Enrolled in Medicare
Practice Location: 2717 E Maverick Ave, Anaheim, CA 92806
Phone: 714-350-1942    
Nicole Versales, M.S.
Speech-Language Pathologist
Medicare: Not Enrolled in Medicare
Practice Location: 140 S Chaparral Ct Ste 110, Anaheim, CA 92808
Phone: 714-282-8852    Fax: 714-282-8876
Eun Hwa Lee, CCC-SLP
Speech-Language Pathologist
Medicare: Not Enrolled in Medicare
Practice Location: 217 W Cerritos Ave, Anaheim, CA 92805
Phone: 714-776-1231    Fax: 714-776-0802

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