Jill Kalat Dolata, CCC-SLP in Portland, OR - Medicare Speech-Language Pathologist Provider

Jill Kalat Dolata, CCC-SLP is a medicare enrolled "Speech-language Pathologist" provider in Portland, Oregon. Her current practice location is 3181 Sw Sam Jackson Park Rd, Mail Code: Cdrc, Portland, Oregon. You can reach out to her office (for appointments etc.) via phone at (503) 418-0689.

Jill Kalat Dolata is licensed to practice in Oregon (license number 12751) 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 1851309322.

Contact Information

	Jill Kalat Dolata, CCC-SLP
	3181 Sw Sam Jackson Park Rd, Mail Code: Cdrc, Portland, OR 97239-3011
	(503) 418-0689
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Jill Kalat Dolata
Gender	Female
Speciality	Speech-language Pathologist
Location	3181 Sw Sam Jackson Park Rd, Portland, Oregon
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1851309322
Provider Enumeration Date: 08/03/2006
Last Update Date: 08/03/2007

Medicare PECOS Information:

PECOS PAC ID: 2264586221
Enrollment ID: I20090811000350

Medical Identifiers

Medical identifiers for Jill Kalat Dolata such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1851309322	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
235Z00000X	Speech-language Pathologist	12751 (Oregon)	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. Jill Kalat Dolata allows following entities to bill medicare on her behalf.

Provider Name	University Professional Services
Provider Type	Part B Supplier - Clinic/group Practice
Provider Identifiers	NPI Number: 1376709535 PECOS PAC ID: 4880760107 Enrollment ID: O20080910000013

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. Jill Kalat Dolata 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
Jill Kalat Dolata, CCC-SLP Po Box 574, Mail Code: Cdrc, Portland, OR 97207-0574 Ph: (503) 418-0689	Jill Kalat Dolata, CCC-SLP 3181 Sw Sam Jackson Park Rd, Mail Code: Cdrc, Portland, OR 97239-3011 Ph: (503) 418-0689

Reviews and Comments

Speech-Language Pathologist in Portland, OR

Mira E Shah, M.S. CCC-SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 2855 Se 61st Avenue, Portland, OR 97206 Phone: 503-348-0931
Ann Sexton, Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 6801 Se 60th Ave, Portland, OR 97206 Phone: 503-916-2000
Jerae Bjelland, Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 501 N Dixon St, Portland, OR 97227 Phone: 503-916-2000
Hearing & Speech Institute Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 1675 Sw Marlow Ave, Suite 200, Portland, OR 97225 Phone: 503-228-6479 Fax: 503-228-4248
Dr. Philip J Levinson, PH.D. Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 1507 Sw Morrison St, Suite A, Portland, OR 97205 Phone: 503-226-1048 Fax: 503-226-1049
Katherine Rhodes, MS Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 730 Ne 148th Ave, Portland, OR 97230 Phone: 503-262-9359
Ms. Brenda Joy Nuckton, Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 0270 Sw Palatine Hill Rd, Portland, OR 97219 Phone: 503-236-4940

Jill Kalat Dolata, CCC-SLP - Medicare Speech-Language Pathologist in Portland, OR