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Active NPI 1265706444 Individual Practitioner Female Practitioner

Mary Elizabeth Petoskey , MS, CCC-SLP

Speech-Language Pathologist • Milwaukee, WI

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Mary Petoskey, MS, CCC-SLP is a certified Speech-Language Pathologist practicing in Milwaukee, WI. With approximately 36 years of clinical experience since completing medical education in 1990, Mary Petoskey delivers high-quality medical care to the local community at 2900 W. OKLAHOMA AVE.

Mary Petoskey is affiliated with Lakeshore Medical Clinic Llc and accepts Medicare assignment.

Practice Location & Contact Primary Location

Practice Address

2900 W. Oklahoma Ave

Milwaukee, WI 532150000

Telephone 4146497772
Fax 4146497977

Medicare Profile & Education

Medical School

Other

Graduation Year

1990

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Speech-Language Pathologist in Milwaukee, WI

Senior Veteran Specialist (>20 Yrs)
Practitioner Clinical Experience
36 Yrs +19.3 yrs vs City Avg
City Avg: 16.7 Yrs
State Avg: 12.9 Yrs
Regional Practice Density
290 Specialists

Practicing in Milwaukee, WI (3821 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Petoskey (36 Years) 36 Yrs
Milwaukee Specialty Average (16.7 Years) 16.7 Yrs

Medical Specialties & State Licenses

CMS Verified: 2021-12-13
Speech-Language Pathologist Primary Specialty

NUCC Taxonomy Code: 235Z00000X

State License WI 419-154

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.

Hospital & Practice Group Affiliations

Lakeshore Medical Clinic Llc

S68w15500 Janesville Rd, Muskego, WI 531502613

Phone: 4144224000

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

8 Associated Practitioners
NPI 1104835222

Doctor of Audiology

NPI 1285741181

Doctor of Audiology

Caroline Scott

Physical Therapist

NPI 1427981430
NPI 1508973488

Doctor of Audiology

Amanda Patino , CCC-SLP

Speech-Language Pathologist

NPI 1649674789

Speech-Language Pathologist (Certificate of Clinical Competence)

NPI 1720124134

Doctor of Philosophy (Ph.D.)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events
NPI Profile Active March 06, 2012

NPI status registered as active in NPPES database

📍
Updated Practice Location March 06, 2012

Registered at 2900 W. OKLAHOMA AVE, MILWAUKEE, WI 532150000 (Tel: 4146497772)

📍
Updated Business Mailing Address March 06, 2012

Registered at 10945 N. PORT WASHINGTON RD., SUITE 211, MEQUON, WI 530920000 (Tel: 2622418000)

👤
Provider Name / Credentials Updated March 06, 2012

Recorded as MARY PETOSKEY, MS/CCC-SLP

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) March 06, 2012

Speech-Language Pathologist (License #419-154 in WI)

🟢
Initial NPI Registration & Enumeration March 06, 2012

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1265706444
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: March 06, 2012
Last Update: December 13, 2021
Sole Proprietor: Yes

Mailing Address

10945 N. Port Washington Rd., Suite 211

Mequon, WI 530920000

Phone: 2622418000

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.