Jacob Lawlor, MS CCC-SLP in Richmond, CA - Medicare Speech-Language Pathologist Provider

Jacob Lawlor, MS CCC-SLP is a medicare enrolled "Speech-language Pathologist" provider in Richmond, California. His current practice location is 648 42nd St, Richmond, California. You can reach out to his office (for appointments etc.) via phone at (510) 730-6254.

Jacob Lawlor is licensed to practice in California (license number 17491) 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 1184988784.

Contact Information

	Jacob Lawlor, MS CCC-SLP
	648 42nd St, Richmond, CA 94805-1818
	(510) 730-6254
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Jacob Lawlor
Gender	Male
Speciality	Speech-language Pathologist
Location	648 42nd St, Richmond, California
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1184988784
Provider Enumeration Date: 06/28/2012
Last Update Date: 02/11/2022

Medicare PECOS Information:

PECOS PAC ID: 5395975452
Enrollment ID: I20140311001403

Medical Identifiers

Medical identifiers for Jacob Lawlor such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1184988784	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
235Z00000X	Speech-language Pathologist	17491 (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. Jacob Lawlor allows following entities to bill medicare on his behalf.

Provider Name	Permanente Medical Group Inc
Provider Type	Part B Supplier - Clinic/group Practice
Provider Identifiers	NPI Number: 1073606299 PECOS PAC ID: 8921910225 Enrollment ID: O20031104000710

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. Jacob Lawlor 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
Jacob Lawlor, MS CCC-SLP 648 42nd St, Richmond, CA 94805-1818 Ph: (510) 730-6254	Jacob Lawlor, MS CCC-SLP 648 42nd St, Richmond, CA 94805-1818 Ph: (510) 730-6254

Reviews and Comments

Speech-Language Pathologist in Richmond, CA

Phuong T Debellis, M.S. CCC-SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 3218 Roosevelt Ave, Richmond, CA 94804 Phone: 209-814-7564
Michele C. Rappaport, M.S. Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 5629 Sierra Ave, Richmond, CA 94805 Phone: 510-236-7707
Alexandra Armas, CCC-SLP Speech-Language Pathologist Medicare: Medicare Enrolled Practice Location: 593 9th St, Richmond, CA 94801 Phone: 858-361-1937
Jane Silver, M.A. Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 5120 Sacramento Ave, Apt. C, Richmond, CA 94804 Phone: 510-517-8975
Yan Zheng, Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 1205 Melville Sq Apt 203, Richmond, CA 94804 Phone: 781-518-1126
Tiffany S Saw, MA, CCC-SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 4722 Potrero Ave, Richmond, CA 94804 Phone: 415-309-2899

Jacob Lawlor, MS CCC-SLP - Medicare Speech-Language Pathologist in Richmond, CA