Kaitlyn Rose Shoults, MS, CCC-SLP in Minnetonka, MN - Medicare Speech-Language Pathologist Provider

Kaitlyn Rose Shoults, MS, CCC-SLP is a medicare enrolled "Speech-language Pathologist" provider in Minnetonka, Minnesota. Her current practice location is 10273 Yellow Circle Dr, Minnetonka, Minnesota. You can reach out to her office (for appointments etc.) via phone at (952) 401-9359.

Kaitlyn Rose Shoults is licensed to practice in Minnesota (license number 10291) 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 1982294443.

Contact Information

	Kaitlyn Rose Shoults, MS, CCC-SLP
	10273 Yellow Circle Dr, Minnetonka, MN 55343-9144
	(952) 401-9359
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Kaitlyn Rose Shoults
Gender	Female
Speciality	Speech-language Pathologist
Location	10273 Yellow Circle Dr, Minnetonka, Minnesota
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1982294443
Provider Enumeration Date: 01/19/2021
Last Update Date: 10/09/2024

Medicare PECOS Information:

PECOS PAC ID: 2567878812
Enrollment ID: I20210310002886

Medical Identifiers

Medical identifiers for Kaitlyn Rose Shoults such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1982294443	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
235Z00000X	Speech-language Pathologist	10291 (Minnesota)	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. Kaitlyn Rose Shoults allows following entities to bill medicare on her behalf.

Provider Name	Holland Center
Provider Type	Part B Supplier - Clinic/group Practice
Provider Identifiers	NPI Number: 1467641555 PECOS PAC ID: 1759507882 Enrollment ID: O20140728000366

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. Kaitlyn Rose Shoults 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
Kaitlyn Rose Shoults, MS, CCC-SLP 607 Pierce St Ne Apt 1, Minneapolis, MN 55413-2742 Ph: (701) 400-5697	Kaitlyn Rose Shoults, MS, CCC-SLP 10273 Yellow Circle Dr, Minnetonka, MN 55343-9144 Ph: (952) 401-9359

Reviews and Comments

Speech-Language Pathologist in Minnetonka, MN

Mrs. Katy Marie Cloutier, MA,CCC,SLP Speech-Language Pathologist Medicare: Medicare Enrolled Practice Location: 3395 Plymouth Rd, Minnetonka, MN 55305 Phone: 952-939-0396 Fax: 952-548-8760
Kristyne Hass, Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 500 Carlson Pkwy, Minnetonka, MN 55305 Phone: 877-407-3422 Fax: 877-407-4329
Alexa Ronayne, Speech-Language Pathologist Medicare: Accepting Medicare Assignments Practice Location: 10653 Wayzata Blvd, Minnetonka, MN 55305 Phone: 612-364-1901
Elizabeth Marie Deacon, Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 3395 Plymouth Rd, Minnetonka, MN 55305 Phone: 952-939-0396
Bertone Speech Language & Communication Services Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 11606 Wayzata Blvd, Minnetonka, MN 55305 Phone: 952-544-0349
Caroline M Hardyman, M.S. CCC-SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 2000 Plymouth Rd, Suite 220, Minnetonka, MN 55305 Phone: 952-223-2506
Joan Cromwell, Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 3395 Plymouth Rd, Minnetonka, MN 55305 Phone: 952-939-0396

Kaitlyn Rose Shoults, MS, CCC-SLP - Medicare Speech-Language Pathologist in Minnetonka, MN