Jessamyn Nichols, MA, CCC-SLP in Waverly, IA - Medicare Speech-Language Pathologist Provider

Jessamyn Nichols, MA, CCC-SLP is a medicare enrolled "Speech-language Pathologist" provider in Waverly, Iowa. Her current practice location is 217 E Bremer Ave, Waverly, Iowa. You can reach out to her office (for appointments etc.) via phone at (319) 352-4544.

Jessamyn Nichols is licensed to practice in Iowa (license number 085663) 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 1316516412.

Contact Information

	Jessamyn Nichols, MA, CCC-SLP
	217 E Bremer Ave, Waverly, IA 50677-3435
	(319) 352-4544
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Jessamyn Nichols
Gender	Female
Speciality	Speech-language Pathologist
Location	217 E Bremer Ave, Waverly, Iowa
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1316516412
Provider Enumeration Date: 06/22/2021
Last Update Date: 06/25/2021

Medicare PECOS Information:

PECOS PAC ID: 6204378722
Enrollment ID: I20240611003854

Medical Identifiers

Medical identifiers for Jessamyn Nichols such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1316516412	NPI	-	NPPES
665992	Medicaid	IA

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
235Z00000X	Speech-language Pathologist	085663 (Iowa)	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. Jessamyn Nichols allows following entities to bill medicare on her behalf.

Provider Name	Fox Rehab Slp Ia Pllc
Provider Type	Part B Supplier - Clinic/group Practice
Provider Identifiers	NPI Number: 1427719947 PECOS PAC ID: 3870970486 Enrollment ID: O20220520001669

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. Jessamyn Nichols 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
Jessamyn Nichols, MA, CCC-SLP 217 E Bremer Ave, Waverly, IA 50677-3435 Ph: (319) 352-4544	Jessamyn Nichols, MA, CCC-SLP 217 E Bremer Ave, Waverly, IA 50677-3435 Ph: (319) 352-4544

Reviews and Comments

Speech-Language Pathologist in Waverly, IA

Sarah Meade, Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 217 E Bremer Ave, Waverly, IA 50677 Phone: 319-352-4544 Fax: 319-352-4655
Mrs. Sarah Marie Petullo, SLP Speech-Language Pathologist Medicare: Accepting Medicare Assignments Practice Location: 1810 4th St Sw Ste 103a, Waverly, IA 50677 Phone: 319-352-6400 Fax: 319-352-4655
Lucinda Lew Wilkinson, SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 217 E Bremer Ave, Waverly, IA 50677 Phone: 319-352-4544 Fax: 319-352-4655
Stephanie Danielle Scribner, CCC-SLP Speech-Language Pathologist Medicare: Medicare Enrolled Practice Location: 217 E Bremer Ave, Waverly, IA 50677 Phone: 800-268-7192
Mrs. Tanya Haase, SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 1810 4th St Sw Ste 103a, Waverly, IA 50677 Phone: 319-352-5726
Mary Ester Ochoa, SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 1810 4th St Sw Ste 103a, Waverly, IA 50677 Phone: 319-352-6400 Fax: 319-352-4655
Maranda Ashton Bear, CCC-SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 205 20th St Nw, Waverly, IA 50677 Phone: 319-352-2665

Jessamyn Nichols, MA, CCC-SLP - Medicare Speech-Language Pathologist in Waverly, IA