Annunciata Marie-victoria Corey, MS ED, CCC-SLP is a medicare enrolled "Speech-language Pathologist" provider in East Ridge, Tennessee. Her current practice location is
1417 N Mack Smith Rd, East Ridge, Tennessee. You can reach out to her office (for appointments etc.) via phone at
(423) 899-6370.
Annunciata Marie-victoria Corey is licensed to practice in Tennessee (license number 6741) 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 1649661109.
Healthcare Provider's Profile
| Full Name | Annunciata Marie-victoria Corey |
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| Gender | Female |
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| Speciality | Speech-language Pathologist |
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| Location | 1417 N Mack Smith Rd, East Ridge, Tennessee |
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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: 1649661109
- Provider Enumeration Date: 02/05/2015
- Last Update Date: 07/13/2022
Medicare PECOS Information:
- PECOS PAC ID: 7416338306
- Enrollment ID: I20220725000542
Medical Identifiers
Medical identifiers for Annunciata Marie-victoria Corey such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1649661109 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 235Z00000X | Speech-language Pathologist | 2202007707 (Virginia) | Secondary |
| 235Z00000X | Speech-language Pathologist | SLP010667 (Georgia) | Secondary |
| 235Z00000X | Speech-language Pathologist | 6741 (Tennessee) | 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. Annunciata Marie-victoria Corey allows following entities to bill medicare on her behalf.
| Provider Name | Healthpro Heritage Rehab & Fitness Llc |
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| Provider Type | Part B Supplier - Clinic/group Practice |
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| Provider Identifiers | NPI Number: 1376073262
PECOS PAC ID: 6507832573
Enrollment ID: O20171003005084 |
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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. Annunciata Marie-victoria Corey 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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Annunciata Marie-victoria Corey, MS ED, CCC-SLP
1417 N Mack Smith Rd,
East Ridge, TN 37412-3973
Ph: () - | Annunciata Marie-victoria Corey, MS ED, CCC-SLP
1417 N Mack Smith Rd,
East Ridge, TN 37412-3973
Ph: (423) 899-6370 |
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