Ellianne Kimes Martin, in Grand Rapids, MI - Medicare Speech-Language Pathologist Provider

Ellianne Kimes Martin, is a medicare enrolled "Speech-language Pathologist" provider in Grand Rapids, Michigan. Her current practice location is 710 Kenmoor Ave Se Ste 110, Grand Rapids, Michigan. You can reach out to her office (for appointments etc.) via phone at (616) 591-2905.

Ellianne Kimes Martin is licensed to practice in Michigan (license number 7152000343) 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 1770212342.

Contact Information

	Ellianne Kimes Martin,
	710 Kenmoor Ave Se Ste 110, Grand Rapids, MI 49546-2379
	(616) 591-2905
	(616) 333-2321

Map and Direction

Healthcare Provider's Profile

Full Name	Ellianne Kimes Martin
Gender	Female
Speciality	Speech-language Pathologist
Location	710 Kenmoor Ave Se Ste 110, Grand Rapids, Michigan
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1770212342
Provider Enumeration Date: 06/08/2022
Last Update Date: 06/08/2022

Medicare PECOS Information:

PECOS PAC ID: 8224402813
Enrollment ID: I20230322001512

Medical Identifiers

Medical identifiers for Ellianne Kimes Martin such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1770212342	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
235Z00000X	Speech-language Pathologist	7152000343 (Michigan)	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. Ellianne Kimes Martin allows following entities to bill medicare on her behalf.

Provider Name	Pediatric Speech Services Llc
Provider Type	Part B Supplier - Clinic/group Practice
Provider Identifiers	NPI Number: 1487005807 PECOS PAC ID: 9032402615 Enrollment ID: O20160719002093

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. Ellianne Kimes Martin 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
Ellianne Kimes Martin, 710 Kenmoor Ave Se Ste 110, Grand Rapids, MI 49546-2379 Ph: (616) 591-2905	Ellianne Kimes Martin, 710 Kenmoor Ave Se Ste 110, Grand Rapids, MI 49546-2379 Ph: (616) 591-2905

Reviews and Comments

Speech-Language Pathologist in Grand Rapids, MI

Katherine Devries, M.A. CCC-SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 1310 E. Beltline Ave Se, Suite 230, Grand Rapids, MI 49506 Phone: 616-288-3732 Fax: 616-288-9857
Felicia Rose Bross, M.A., CCC-SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 3361 36th St Se, Grand Rapids, MI 49512 Phone: 616-942-2522 Fax: 616-956-3260
Tommi Ann Wilde, SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 2900 Charlevoix Dr Se, Suite 200, Grand Rapids, MI 49546 Phone: 800-684-8049
Julie Love, M.A, CCC-SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 2505 Ardmore St Se, Grand Rapids, MI 49506 Phone: 616-559-1054
Amy Mcintosh, Speech-Language Pathologist Medicare: Medicare Enrolled Practice Location: 235 Wealthy St Se, Grand Rapids, MI 49503 Phone: 616-840-8000
Scott Hower, SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 360 Lafayette Ave Se, Suite 400, Grand Rapids, MI 49503 Phone: 616-486-6870 Fax: 616-454-6898
Jill Margret Bradway, Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 1095 Medical Park Dr Se, Grand Rapids, MI 49546 Phone: 616-588-9210

Ellianne Kimes Martin, - Medicare Speech-Language Pathologist in Grand Rapids, MI