Amy Mammadov, MS, CCC-SLP in Bloomington, IL - Medicare Speech-Language Pathologist Provider

Amy Mammadov, MS, CCC-SLP is a medicare enrolled "Speech-language Pathologist" provider in Bloomington, Illinois. Her current practice location is 7 Callahan Ct, Bloomington, Illinois. You can reach out to her office (for appointments etc.) via phone at (309) 808-9806.

Amy Mammadov is licensed to practice in Illinois (license number 146.014635) 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 1568944569.

Contact Information

	Amy Mammadov, MS, CCC-SLP
	7 Callahan Ct, Bloomington, IL 61705-1701
	(309) 808-9806
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Amy Mammadov
Gender	Female
Speciality	Speech-language Pathologist
Location	7 Callahan Ct, Bloomington, Illinois
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1568944569
Provider Enumeration Date: 09/05/2018
Last Update Date: 12/14/2018

Medicare PECOS Information:

PECOS PAC ID: 4981004033
Enrollment ID: I20210611001137

Medical Identifiers

Medical identifiers for Amy Mammadov such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1568944569	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
235Z00000X	Speech-language Pathologist	146.014635 (Illinois)	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. Amy Mammadov allows following entities to bill medicare on her behalf.

Provider Name	Ivyrehab Physical Therapy Pllc
Provider Type	Part B Supplier - Physical/occupational Therapy Group In Private Practice
Provider Identifiers	NPI Number: 1376917187 PECOS PAC ID: 7012997638 Enrollment ID: O20160304000277

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. Amy Mammadov 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
Amy Mammadov, MS, CCC-SLP 7 Callahan Ct, Bloomington, IL 61705-1701 Ph: (309) 808-9806	Amy Mammadov, MS, CCC-SLP 7 Callahan Ct, Bloomington, IL 61705-1701 Ph: (309) 808-9806

Reviews and Comments

Speech-Language Pathologist in Bloomington, IL

Kathleen T Schlais, Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 605 Bradley Dr Apt C, Bloomington, IL 61701 Phone: 847-987-6688
Katriona Horan, Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 1101 Elmwood Rd, Bloomington, IL 61701 Phone: 309-828-2909
Lexi Maas, Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 2103 N Veterans Pkwy, Bloomington, IL 61704 Phone: 309-948-6469
Mrs. C. Elizabeth Chamberlain-lane, SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 135 N Williamsburg Dr, Bloomington, IL 61704 Phone: 309-661-8823 Fax: 309-661-8801
Mrs. Leslie Ann Garthaus, M.S.,CCC-SLP-L Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 26 Waterside Cir, Bloomington, IL 61704 Phone: 309-530-6982
Marie Houghton, M.S. CCC Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 16 Cashel Dr, Bloomington, IL 61704 Phone: 309-912-6445
Brooke Marie Nguyen, M.S. CCC-SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 2103 N Veterans Pkwy, Bloomington, IL 61704 Phone: 309-948-6469

Amy Mammadov, MS, CCC-SLP - Medicare Speech-Language Pathologist in Bloomington, IL