Jessica Elizabeth Lidvall, MA, CFY-SLP in Columbus, GA - Medicare Speech-Language Pathologist Provider

Jessica Elizabeth Lidvall, MA, CFY-SLP is a medicare enrolled "Speech-language Pathologist" provider in Columbus, Georgia. Her current practice location is 2424 Double Churches Rd, Columbus, Georgia. You can reach out to her office (for appointments etc.) via phone at (706) 324-6112.

Jessica Elizabeth Lidvall is licensed to practice in Georgia (license number PCET003090) 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 1316455025.

Contact Information

	Jessica Elizabeth Lidvall, MA, CFY-SLP
	2424 Double Churches Rd, Columbus, GA 31909-2741
	(706) 324-6112
	(706) 596-8259

Map and Direction

Healthcare Provider's Profile

Full Name	Jessica Elizabeth Lidvall
Gender	Female
Speciality	Speech-language Pathologist
Location	2424 Double Churches Rd, Columbus, Georgia
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1316455025
Provider Enumeration Date: 01/16/2018
Last Update Date: 06/02/2020

Medicare PECOS Information:

PECOS PAC ID: 0143641597
Enrollment ID: I20200610003381

Medical Identifiers

Medical identifiers for Jessica Elizabeth Lidvall such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1316455025	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
235Z00000X	Speech-language Pathologist	PCET003090 (Georgia)	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 Elizabeth Lidvall allows following entities to bill medicare on her behalf.

Provider Name	Columbus Speech & Hearing Center
Provider Type	Part B Supplier - Clinic/group Practice
Provider Identifiers	NPI Number: 1467576140 PECOS PAC ID: 5294890398 Enrollment ID: O20101116000161

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 Elizabeth Lidvall 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 Elizabeth Lidvall, MA, CFY-SLP 2424 Double Churches Rd, Columbus, GA 31909-2741 Ph: (706) 324-6112	Jessica Elizabeth Lidvall, MA, CFY-SLP 2424 Double Churches Rd, Columbus, GA 31909-2741 Ph: (706) 324-6112

Reviews and Comments

Speech-Language Pathologist in Columbus, GA

Brittni Irene Dickenson, MED-CSD Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 2424 Double Churches Rd, Columbus, GA 31909 Phone: 706-324-6112 Fax: 706-596-8259
Lori Sprayberry Morgan, MCD, CCC-SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 2424 Double Churches Rd, Columbus, GA 31909 Phone: 706-324-6112 Fax: 706-596-8259
Procom Speech-language Services Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 3645 Gentian Blvd Ste 3b, Columbus, GA 31907 Phone: 706-457-3883 Fax: 706-243-4985
Tiffany Winchester Windham, SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 2424 Double Churches Rd, Columbus, GA 31909 Phone: 706-324-6112 Fax: 706-596-8259
Allison Shannon Ganus, MCD CCC Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 2424 Double Churches Rd, Columbus, GA 31909 Phone: 706-324-6112 Fax: 706-596-8259
Joanna Boone Caldwell, M.ED., CCC-SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 705 17th St, Suite 407, Columbus, GA 31901 Phone: 706-321-0930
Heather Neely, M.S., CCC SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 2515 Double Churches Rd, Columbus, GA 31909 Phone: 706-660-5495

Jessica Elizabeth Lidvall, MA, CFY-SLP - Medicare Speech-Language Pathologist in Columbus, GA