Carolyn Sebourn, CCC-SLP is a medicare enrolled "Speech-language Pathologist" provider in Waynesville, Ohio. Her current practice location is
9688 Sandy Run Dr, Waynesville, Ohio. You can reach out to her office (for appointments etc.) via phone at
(937) 902-1831.
Carolyn Sebourn is licensed to practice in Ohio (license number SP.10043) 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 1841712528.
Healthcare Provider's Profile
| Full Name | Carolyn Sebourn |
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| Gender | Female |
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| Speciality | Speech-language Pathologist |
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| Location | 9688 Sandy Run Dr, Waynesville, Ohio |
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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: 1841712528
- Provider Enumeration Date: 07/13/2017
- Last Update Date: 07/13/2017
Medicare PECOS Information:
- PECOS PAC ID: 8426425174
- Enrollment ID: I20221109001123
Medical Identifiers
Medical identifiers for Carolyn Sebourn such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1841712528 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 235Z00000X | Speech-language Pathologist | SP.10043 (Ohio) | 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. Carolyn Sebourn allows following entities to bill medicare on her behalf.
| Provider Name | Buckeye Senior Rehab Llc |
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| Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
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| Provider Identifiers | NPI Number: 1265167233
PECOS PAC ID: 4284017542
Enrollment ID: O20220818002493 |
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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. Carolyn Sebourn 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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Carolyn Sebourn, CCC-SLP
9688 Sandy Run Dr,
Waynesville, OH 45068-8385
Ph: (937) 902-1831 | Carolyn Sebourn, CCC-SLP
9688 Sandy Run Dr,
Waynesville, OH 45068-8385
Ph: (937) 902-1831 |
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