Mariah Siciliano, is a medicare enrolled "Speech-language Pathologist" provider in Charleston, South Carolina. Her current practice location is
1170 Folly Rd, Charleston, South Carolina. You can reach out to her office (for appointments etc.) via phone at
(843) 633-3266.
Mariah Siciliano is licensed to practice in New Mexico (license number CF6898) 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 1477921302.
Healthcare Provider's Profile
Full Name | Mariah Siciliano |
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Gender | Female |
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Speciality | Speech-language Pathologist |
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Location | 1170 Folly Rd, Charleston, South Carolina |
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Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1477921302
- Provider Enumeration Date: 09/09/2015
- Last Update Date: 05/07/2021
Medicare PECOS Information:
- PECOS PAC ID: 6901294743
- Enrollment ID: I20211027001042
Medical Identifiers
Medical identifiers for Mariah Siciliano such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1477921302 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
101Y00000X | Counselor | (* (Not Available)) | Secondary |
235Z00000X | Speech-language Pathologist | CF6898 (New Mexico) | 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. Mariah Siciliano allows following entities to bill medicare on her behalf.
Entity Name | Pattisons D R E A M Academy |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1861678534 PECOS PAC ID: 4385060995 Enrollment ID: O20200813001033 |
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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. Mariah Siciliano 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 Address | Practice Location Address |
Mariah Siciliano, 1170 Folly Rd, Charleston, SC 29412-4114 Ph: () - | Mariah Siciliano, 1170 Folly Rd, Charleston, SC 29412-4114 Ph: (843) 633-3266 |
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