Iddo Devries, MSCCC-SLP in Los Angeles, CA - Medicare Speech-Language Pathologist Provider

Iddo Devries, MSCCC-SLP is a medicare enrolled "Speech-language Pathologist" provider in Los Angeles, California. His current practice location is 1080 S La Cienega Blvd Ste 208, Los Angeles, California. You can reach out to his office (for appointments etc.) via phone at (323) 426-6402.

Iddo Devries is licensed to practice in California (license number 19686) 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 1649402785.

Contact Information

	Iddo Devries, MSCCC-SLP
	1080 S La Cienega Blvd Ste 208, Los Angeles, CA 90035-2680
	(323) 426-6402
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Iddo Devries
Gender	Male
Speciality	Speech-language Pathologist
Location	1080 S La Cienega Blvd Ste 208, Los Angeles, California
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1649402785
Provider Enumeration Date: 08/21/2009
Last Update Date: 07/21/2022

Medicare PECOS Information:

PECOS PAC ID: 7113252420
Enrollment ID: I20191003000004

Medical Identifiers

Medical identifiers for Iddo Devries such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1649402785	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
235Z00000X	Speech-language Pathologist	017508 (New York)	Secondary
235Z00000X	Speech-language Pathologist	19686 (California)	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. Iddo Devries allows following entities to bill medicare on his behalf.

Provider Name	Dv Therapy Inc
Provider Type	Part B Supplier - Clinic/group Practice
Provider Identifiers	NPI Number: 1518363597 PECOS PAC ID: 8022343326 Enrollment ID: O20190709001925

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. Iddo Devries 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
Iddo Devries, MSCCC-SLP 1080 S La Cienega Blvd Ste 208, Los Angeles, CA 90035-2680 Ph: (917) 705-2774	Iddo Devries, MSCCC-SLP 1080 S La Cienega Blvd Ste 208, Los Angeles, CA 90035-2680 Ph: (323) 426-6402

Reviews and Comments

Speech-Language Pathologist in Los Angeles, CA

Benjamin M Kalkin, SP Speech-Language Pathologist Medicare: Medicare Enrolled Practice Location: 6041 Cadillac Ave, Los Angeles, CA 90034 Phone: 323-857-2000 Fax: 626-405-6768
Maureen Jennings, CCC-SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 2301 Roscomare Rd, #104, Los Angeles, CA 90077 Phone: 310-663-3868
Ms. June Mitsunaga Fujimoto, MS, CCC-SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 1968 W Adams Blvd Ste 300, Los Angeles, CA 90018 Phone: 310-553-3695
Daniella Hay, CCC-SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 1080 S La Cienega Blvd Ste 208, Los Angeles, CA 90035 Phone: 323-426-6402
Taryn Kiani Michiko Park, Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 1680 E 120th St, Los Angeles, CA 90059 Phone: 424-338-8000
Franchesca Soto, Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 3200 Motor Ave, Los Angeles, CA 90034 Phone: 310-836-1223
Ms. Jana Lovell, M.A, SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 11301 Wilshire Blvd, Los Angeles, CA 90073 Phone: 310-478-3711

Iddo Devries, MSCCC-SLP - Medicare Speech-Language Pathologist in Los Angeles, CA