Angela Sudholt, TAYLOR in Trenton, IL - Medicare Speech-Language Pathologist Provider

Angela Sudholt, TAYLOR is a medicare enrolled "Speech-language Pathologist" provider in Trenton, Illinois. Her current practice location is 3393 Venhaus Rd, Trenton, Illinois. You can reach out to her office (for appointments etc.) via phone at (618) 741-7226.

Angela Sudholt is licensed to practice in Illinois (license number 146009797) 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 1457616625.

Contact Information

	Angela Sudholt, TAYLOR
	3393 Venhaus Rd, Trenton, IL 62293-3220
	(618) 741-7226
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Angela Sudholt
Gender	Female
Speciality	Speech-language Pathologist
Location	3393 Venhaus Rd, Trenton, Illinois
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1457616625
Provider Enumeration Date: 07/12/2012
Last Update Date: 07/12/2012

Medicare PECOS Information:

PECOS PAC ID: 6305241498
Enrollment ID: I20210827001786

Medical Identifiers

Medical identifiers for Angela Sudholt such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1457616625	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
235Z00000X	Speech-language Pathologist	146009797 (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. Angela Sudholt allows following entities to bill medicare on her behalf.

Provider Name	Powerback Rehabilitation Llc
Provider Type	Part B Supplier - Physical/occupational Therapy Group In Private Practice
Provider Identifiers	NPI Number: 1982018362 PECOS PAC ID: 2365359932 Enrollment ID: O20141024000284

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. Angela Sudholt 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
Angela Sudholt, TAYLOR 3393 Venhaus Rd, Trenton, IL 62293-3220 Ph: () -	Angela Sudholt, TAYLOR 3393 Venhaus Rd, Trenton, IL 62293-3220 Ph: (618) 741-7226

Reviews and Comments

Speech-Language Pathologist in Trenton, IL

Mrs. Denelle Marie Whitlatch, M.A., CCC-SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 3008 Wheatfield Ln, Trenton, IL 62293 Phone: 618-660-8416
Mrs. Angela K. Klein, CCC/SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 308 N Washington St, Trenton, IL 62293 Phone: 618-224-9411
Lori Ann Noggle, M.S. CCC-SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 11261 Pleasant Valley School Rd, Trenton, IL 62293 Phone: 618-934-3008
Jordyn Nunez, Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 109 W Indiana St, Trenton, IL 62293 Phone: 618-531-3153

Angela Sudholt, TAYLOR - Medicare Speech-Language Pathologist in Trenton, IL