Alyssa Koetje, CF-SLP in Dewitt, MI - Medicare Speech-Language Pathologist Provider

Alyssa Koetje, CF-SLP is a medicare enrolled "Speech-language Pathologist" provider in Dewitt, Michigan. Her current practice location is 1161 E Clark Rd Ste 360-a, Dewitt, Michigan. You can reach out to her office (for appointments etc.) via phone at (517) 507-5525.

Alyssa Koetje is licensed to practice in * (Not Available) (license number ) 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 1750123436.

Contact Information

	Alyssa Koetje, CF-SLP
	1161 E Clark Rd Ste 360-a, Dewitt, MI 48820-7930
	(517) 507-5525
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Alyssa Koetje
Gender	Female
Speciality	Speech-language Pathologist
Location	1161 E Clark Rd Ste 360-a, Dewitt, Michigan
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1750123436
Provider Enumeration Date: 06/12/2024
Last Update Date: 06/12/2024

Medicare PECOS Information:

PECOS PAC ID: 8022554336
Enrollment ID: I20240723002926

Medical Identifiers

Medical identifiers for Alyssa Koetje such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1750123436	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
235Z00000X	Speech-language Pathologist	(* (Not Available))	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. Alyssa Koetje allows following entities to bill medicare on her behalf.

Provider Name	Tara Mahaney Llc
Provider Type	Part B Supplier - Clinic/group Practice
Provider Identifiers	NPI Number: 1700223286 PECOS PAC ID: 0345481750 Enrollment ID: O20130729000139

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. Alyssa Koetje 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
Alyssa Koetje, CF-SLP 1161 E Clark Rd Ste 360-a, Dewitt, MI 48820-7930 Ph: () -	Alyssa Koetje, CF-SLP 1161 E Clark Rd Ste 360-a, Dewitt, MI 48820-7930 Ph: (517) 507-5525

Reviews and Comments

Speech-Language Pathologist in Dewitt, MI

Practical Rehabilitation Services, Llc Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 124 E Washington St Ste C, Dewitt, MI 48820 Phone: 855-777-9297 Fax: 517-394-3604
Larson Pax Drzewicki, MA, CCC-SLP Speech-Language Pathologist Medicare: Medicare Enrolled Practice Location: 1161 E Clark Rd Ste 360, Dewitt, MI 48820 Phone: 517-507-5525
Hannah Brunner, Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 1161 E Clark Rd Ste 360, Dewitt, MI 48820 Phone: 517-507-5525
Faith June-marie Gray, MA, CF-SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 12800 Escanaba Dr, Dewitt, MI 48820 Phone: 517-669-7228 Fax: 517-669-5675
Corinne Hoedeman, SLP-CCC Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 124 E Washington St Ste C, Dewitt, MI 48820 Phone: 855-777-9297
Catharine Nagayda, MA, CCC-SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 237 S Bridge St, Dewitt, MI 48820 Phone: 517-364-5464

Alyssa Koetje, CF-SLP - Medicare Speech-Language Pathologist in Dewitt, MI