Jessica Buchholz, is a medicare enrolled "Speech-language Pathologist" provider in Stevensville, Michigan. Her current practice location is
4581 Red Arrow Hwy Apt 32, Stevensville, Michigan. You can reach out to her office (for appointments etc.) via phone at
(920) 348-3074.
Jessica Buchholz is licensed to practice in Michigan (license number 7101006454) 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 1942851043.
Healthcare Provider's Profile
Full Name | Jessica Buchholz |
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Gender | Female |
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Speciality | Speech-language Pathologist |
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Location | 4581 Red Arrow Hwy Apt 32, Stevensville, Michigan |
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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: 1942851043
- Provider Enumeration Date: 09/20/2019
- Last Update Date: 09/20/2019
Medicare PECOS Information:
- PECOS PAC ID: 2163832189
- Enrollment ID: I20201103001811
Medical Identifiers
Medical identifiers for Jessica Buchholz such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1942851043 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
235Z00000X | Speech-language Pathologist | 7101006454 (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. Jessica Buchholz allows following entities to bill medicare on her behalf.
Provider Name | Ohana Therapy Clinic |
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Provider Type | Part B Supplier - Clinic/group Practice |
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Provider Identifiers | NPI Number: 1144705286 PECOS PAC ID: 4284974874 Enrollment ID: O20190318002200 |
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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. Jessica Buchholz 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 |
Jessica Buchholz, 4581 Red Arrow Hwy Apt 32, Stevensville, MI 49127-9288 Ph: () - | Jessica Buchholz, 4581 Red Arrow Hwy Apt 32, Stevensville, MI 49127-9288 Ph: (920) 348-3074 |
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