Aja Sisco, MS, CCC-SLP is a medicare enrolled "Speech-language Pathologist" provider in Stuyvesant Falls, New York. Her current practice location is
65 Rybka Rd, Stuyvesant Falls, New York. You can reach out to her office (for appointments etc.) via phone at
(845) 417-4393.
Aja Sisco is licensed to practice in New York (license number 018261) 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 1679714760.
Healthcare Provider's Profile
| Full Name | Aja Sisco |
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| Gender | Female |
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| Speciality | Speech-language Pathologist |
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| Location | 65 Rybka Rd, Stuyvesant Falls, New York |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
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NPI Data:
- NPI Number: 1679714760
- Provider Enumeration Date: 03/18/2009
- Last Update Date: 10/21/2016
Medicare PECOS Information:
- PECOS PAC ID: 1456739739
- Enrollment ID: I20220526002381
Medical Identifiers
Medical identifiers for Aja Sisco such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1679714760 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 235Z00000X | Speech-language Pathologist | 018261 (New York) | 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. Aja Sisco allows following entities to bill medicare on her behalf.
| Provider Name | Select Pt, Ot & Slp Rehabilitation Ny, Pllc |
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| Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
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| Provider Identifiers | NPI Number: 1457026353
PECOS PAC ID: 3870986656
Enrollment ID: O20220201000412 |
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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. Aja Sisco 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 |
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Aja Sisco, MS, CCC-SLP
65 Rybka Rd, Po Box 60,
Stuyvesant Falls, NY 12174-7708
Ph: () - | Aja Sisco, MS, CCC-SLP
65 Rybka Rd,
Stuyvesant Falls, NY 12174-7708
Ph: (845) 417-4393 |
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