Jill M Booth, SLP in Fargo, ND - Medicare Speech-Language Pathologist Provider

Jill M Booth, SLP is a medicare enrolled "Speech-language Pathologist" provider in Fargo, North Dakota. Her current practice location is 1702 University Dr S, Fargo, North Dakota. You can reach out to her office (for appointments etc.) via phone at (701) 364-3300.

Jill M Booth is licensed to practice in North Dakota (license number 1311) 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 1144251190.

Contact Information

	Jill M Booth, SLP
	1702 University Dr S, Fargo, ND 58103-4940
	(701) 364-3300
	(701) 364-8906

Map and Direction

Healthcare Provider's Profile

Full Name	Jill M Booth
Gender	Female
Speciality	Speech-language Pathologist
Location	1702 University Dr S, Fargo, North Dakota
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1144251190
Provider Enumeration Date: 07/06/2006
Last Update Date: 02/07/2014

Medicare PECOS Information:

PECOS PAC ID: 9537352935
Enrollment ID: I20101018001110

Medical Identifiers

Medical identifiers for Jill M Booth such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1144251190	NPI	-	NPPES
52524	Medicaid	ND
43G40BO	Other	ND	MNBS #
20605	Other	ND	NDBS #
ND200229	Other	ND	LHS #
SLP8027	Other	AZ	AZ LICENSE
4600456	Other	ND	MEDICA #
1782578	Other	ND	AMERICA'S PPO/ARAZ #
4600421	Other	ND	MEDICA #

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
235Z00000X	Speech-language Pathologist	665 (North Dakota)	Secondary
235Z00000X	Speech-language Pathologist	SLP8027 (Arizona)	Secondary
235Z00000X	Speech-language Pathologist	1311 (North Dakota)	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 M Booth allows following entities to bill medicare on her behalf.

Provider Name	Innovis Health Llc
Provider Type	Part B Supplier - Clinic/group Practice
Provider Identifiers	NPI Number: 1215125463 PECOS PAC ID: 9931298155 Enrollment ID: O20071211000158

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 M Booth 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 M Booth, SLP Po Box 6001, Fargo, ND 58108-6001 Ph: (701) 364-3300	Jill M Booth, SLP 1702 University Dr S, Fargo, ND 58103-4940 Ph: (701) 364-3300

Reviews and Comments

Speech-Language Pathologist in Fargo, ND

Mrs. Jill S Erickson, SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 1727 South 16th Street, Fargo, ND 58103 Phone: 701-446-4800
Katherine Wilson, Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 2846 Brandt Dr S, Fargo, ND 58104 Phone: 701-232-2340 Fax: 701-232-2330
Sarah Hoepfner, Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 801 Broadway N, Fargo, ND 58102 Phone: 701-234-6970 Fax: 701-234-7391
Nancy Knowlton, MS, CCC-SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 3001 11th Ave S, Beyond Boundaries Speech-language, Fargo, ND 58103 Phone: 701-356-0062 Fax: 701-356-5412
Kayla Marie Flach, MSLP Speech-Language Pathologist Medicare: Accepting Medicare Assignments Practice Location: 4500 36th Ave S Ste 200, Fargo, ND 58104 Phone: 701-532-1507 Fax: 701-532-1529
Madison Jewel Neumann, CCC-SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 2101 Elm St N, Fargo, ND 58102 Phone: 405-388-9116
Sydney M Honek, SLP Speech-Language Pathologist Medicare: Medicare Enrolled Practice Location: 4152 30th Ave S, Fargo, ND 58104 Phone: 701-551-1750

Jill M Booth, SLP - Medicare Speech-Language Pathologist in Fargo, ND