Corlyn Doolittle, is a medicare enrolled "Speech-language Pathologist" provider in Lovejoy, Georgia. His current practice location is
412 Lakeside Villa Dr, Lovejoy, Georgia. You can reach out to his office (for appointments etc.) via phone at
(706) 231-4105.
Corlyn Doolittle is licensed to practice in Georgia (license number ) 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 1932599370.
Healthcare Provider's Profile
| Full Name | Corlyn Doolittle |
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| Gender | Male |
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| Speciality | Speech-language Pathologist |
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| Location | 412 Lakeside Villa Dr, Lovejoy, Georgia |
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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: 1932599370
- Provider Enumeration Date: 01/23/2015
- Last Update Date: 06/09/2020
Medicare PECOS Information:
- PECOS PAC ID: 0547644262
- Enrollment ID: I20220830002362
Medical Identifiers
Medical identifiers for Corlyn Doolittle such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1932599370 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 235Z00000X | Speech-language Pathologist | (Georgia) | 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. Corlyn Doolittle allows following entities to bill medicare on his behalf.
| Provider Name | Empowerme Rehabilitation Georgia, 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: 1952934374
PECOS PAC ID: 4284063835
Enrollment ID: O20200401003230 |
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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. Corlyn Doolittle 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 |
|---|
Corlyn Doolittle,
2626 Summit Pkwy Sw,
Atlanta, GA 30331-9425
Ph: (706) 231-4105 | Corlyn Doolittle,
412 Lakeside Villa Dr,
Lovejoy, GA 30228
Ph: (706) 231-4105 |
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