Jennifer Alyx Medlock, MS, CCC-SLP is a medicare enrolled "Speech-language Pathologist" provider in Cedar Crest, New Mexico. Her current practice location is
20 Cedar Hill Dr, Cedar Crest, New Mexico. You can reach out to her office (for appointments etc.) via phone at
(505) 238-4445.
Jennifer Alyx Medlock is licensed to practice in New Mexico (license number 3165) 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 1639316722.
Healthcare Provider's Profile
Full Name | Jennifer Alyx Medlock |
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Gender | Female |
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Speciality | Speech-language Pathologist |
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Location | 20 Cedar Hill Dr, Cedar Crest, New Mexico |
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Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1639316722
- Provider Enumeration Date: 01/12/2009
- Last Update Date: 09/25/2024
Medicare PECOS Information:
- PECOS PAC ID: 0840479333
- Enrollment ID: I20110131000387
Medical Identifiers
Medical identifiers for Jennifer Alyx Medlock such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1639316722 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
235Z00000X | Speech-language Pathologist | 3165 (New Mexico) | 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. Jennifer Alyx Medlock allows following entities to bill medicare on her behalf.
Provider Name | Unm Medical Group Inc |
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Provider Type | Part B Supplier - Clinic/group Practice |
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Provider Identifiers | NPI Number: 1831218627 PECOS PAC ID: 4981795267 Enrollment ID: O20070801000589 |
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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. Jennifer Alyx Medlock 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 |
Jennifer Alyx Medlock, MS, CCC-SLP 800 Bradbury Dr Se Ste 116, Albuquerque, NM 87106-4310 Ph: (505) 272-1476 | Jennifer Alyx Medlock, MS, CCC-SLP 20 Cedar Hill Dr, Cedar Crest, NM 87008-9428 Ph: (505) 238-4445 |
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