Antoinette Dominique Pryor, SLP in Ladson, SC - Medicare Speech-Language Pathologist Provider

Antoinette Dominique Pryor, SLP is a medicare enrolled "Speech-language Pathologist" provider in Ladson, South Carolina. Her current practice location is 9325 Blue House Rd Apt 11105, Ladson, South Carolina. You can reach out to her office (for appointments etc.) via phone at (803) 873-2243.

Antoinette Dominique Pryor is licensed to practice in South Carolina (license number 4382) 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 1336792472.

Contact Information

	Antoinette Dominique Pryor, SLP
	9325 Blue House Rd Apt 11105, Ladson, SC 29456-4230
	(803) 873-2243
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Antoinette Dominique Pryor
Gender	Female
Speciality	Speech-language Pathologist
Location	9325 Blue House Rd Apt 11105, Ladson, South Carolina
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1336792472
Provider Enumeration Date: 07/18/2019
Last Update Date: 10/13/2019

Medicare PECOS Information:

PECOS PAC ID: 0840629267
Enrollment ID: I20210715001035

Medical Identifiers

Medical identifiers for Antoinette Dominique Pryor such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1336792472	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
235Z00000X	Speech-language Pathologist	4382 (South Carolina)	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. Antoinette Dominique Pryor allows following entities to bill medicare on her behalf.

Provider Name	Affinity Rehabilitation Llp
Provider Type	Part B Supplier - Clinic/group Practice
Provider Identifiers	NPI Number: 1346530169 PECOS PAC ID: 4789843376 Enrollment ID: O20120319000314

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. Antoinette Dominique Pryor 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
Antoinette Dominique Pryor, SLP 9325 Blue House Rd Apt 11105, Ladson, SC 29456-4230 Ph: (803) 873-2243	Antoinette Dominique Pryor, SLP 9325 Blue House Rd Apt 11105, Ladson, SC 29456-4230 Ph: (803) 873-2243

Reviews and Comments

Speech-Language Pathologist in Ladson, SC

Mrs. Chrisonia Dawn Williams-busch, CCC-SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 103 Diploma Dr, Ladson, SC 29456 Phone: 843-412-5588
Holly Brooke Jones, Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 3851 Commercial Center Dr, Ladson, SC 29456 Phone: 843-314-5434
Ashley Scott, CCC-SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 9565 Highway 78 Ste 102, Ladson, SC 29456 Phone: 888-510-6369 Fax: 888-510-9156
Ascension Collective Services Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 125 Towering Pine Dr, Ladson, SC 29456 Phone: 228-239-0522
Paige Romine, Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 3851 Commercial Center Dr, Ladson, SC 29456 Phone: 843-314-5434
Caroline Chism, CCC-SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 3851 Commercial Center Dr, Ladson, SC 29456 Phone: 843-314-5434
Sarah Gerth Neville, MSP, CCC-SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 3851 Commercial Center Dr, Ladson, SC 29456 Phone: 843-314-5434

Antoinette Dominique Pryor, SLP - Medicare Speech-Language Pathologist in Ladson, SC