Brian Pat Connelly, in Fargo, ND - Medicare Speech-Language Pathologist Provider

Brian Pat Connelly, is a medicare enrolled "Speech-language Pathologist" provider in Fargo, North Dakota. His current practice location is 3523 45th St S Ste 136, Fargo, North Dakota. You can reach out to his office (for appointments etc.) via phone at (701) 347-1782.

Brian Pat Connelly is licensed to practice in North Dakota (license number 2530) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1619743697.

Contact Information

	Brian Pat Connelly,
	3523 45th St S Ste 136, Fargo, ND 58104-8962
	(701) 347-1782
	(701) 404-8274

Map and Direction

Healthcare Provider's Profile

Full Name	Brian Pat Connelly
Gender	Male
Speciality	Speech-language Pathologist
Location	3523 45th St S Ste 136, Fargo, North Dakota
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1619743697
Provider Enumeration Date: 11/30/2023
Last Update Date: 11/30/2023

Medicare PECOS Information:

PECOS PAC ID: 5890131619
Enrollment ID: I20240314001821

Medical Identifiers

Medical identifiers for Brian Pat Connelly such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1619743697	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
235Z00000X	Speech-language Pathologist	2530 (North Dakota)	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. Brian Pat Connelly allows following entities to bill medicare on his behalf.

Provider Name	Myna Therapy Services Pllc
Provider Type	Part B Supplier - Clinic/group Practice
Provider Identifiers	NPI Number: 1427788629 PECOS PAC ID: 8022499888 Enrollment ID: O20220726000211

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. Brian Pat Connelly 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
Brian Pat Connelly, 2858 Rivers Bend Dr E, West Fargo, ND 58078-8509 Ph: (701) 866-9934	Brian Pat Connelly, 3523 45th St S Ste 136, Fargo, ND 58104-8962 Ph: (701) 347-1782

Reviews and Comments

Speech-Language Pathologist in Fargo, ND

Mrs. Jill S Erickson, SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 1727 South 16th Street, Fargo, ND 58103 Phone: 701-446-4800
Katherine Wilson, Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 2846 Brandt Dr S, Fargo, ND 58104 Phone: 701-232-2340 Fax: 701-232-2330
Sarah Hoepfner, Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 801 Broadway N, Fargo, ND 58102 Phone: 701-234-6970 Fax: 701-234-7391
Nancy Knowlton, MS, CCC-SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 3001 11th Ave S, Beyond Boundaries Speech-language, Fargo, ND 58103 Phone: 701-356-0062 Fax: 701-356-5412
Kayla Marie Flach, MSLP Speech-Language Pathologist Medicare: Accepting Medicare Assignments Practice Location: 4500 36th Ave S Ste 200, Fargo, ND 58104 Phone: 701-532-1507 Fax: 701-532-1529
Madison Jewel Neumann, CCC-SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 2101 Elm St N, Fargo, ND 58102 Phone: 405-388-9116
Sydney M Honek, SLP Speech-Language Pathologist Medicare: Medicare Enrolled Practice Location: 4152 30th Ave S, Fargo, ND 58104 Phone: 701-551-1750

Brian Pat Connelly, - Medicare Speech-Language Pathologist in Fargo, ND