Katelyn Jacques, CCC-SLP is a medicare enrolled "Speech-language Pathologist" provider in Lisbon, Maine. Her current practice location is
48 Beech St, Lisbon, Maine. You can reach out to her office (for appointments etc.) via phone at
(207) 240-8656.
Katelyn Jacques is licensed to practice in Maine (license number SP2670) 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 1891391769.
Healthcare Provider's Profile
| Full Name | Katelyn Jacques |
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| Gender | Female |
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| Speciality | Speech-language Pathologist |
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| Location | 48 Beech St, Lisbon, Maine |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
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NPI Data:
- NPI Number: 1891391769
- Provider Enumeration Date: 12/07/2020
- Last Update Date: 12/07/2020
Medicare PECOS Information:
- PECOS PAC ID: 8123435583
- Enrollment ID: I20210331001371
Medical Identifiers
Medical identifiers for Katelyn Jacques such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1891391769 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 235Z00000X | Speech-language Pathologist | SP2670 (Maine) | 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. Katelyn Jacques allows following entities to bill medicare on her behalf.
| Provider Name | Androscoggin Home Health Services Inc |
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| Provider Type | Part B Supplier - Clinic/group Practice |
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| Provider Identifiers | NPI Number: 1013957687
PECOS PAC ID: 2668467614
Enrollment ID: O20040419000628 |
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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. Katelyn Jacques 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 |
|---|
Katelyn Jacques, CCC-SLP
48 Beech St,
Lisbon, ME 04250-6476
Ph: (207) 240-8656 | Katelyn Jacques, CCC-SLP
48 Beech St,
Lisbon, ME 04250-6476
Ph: (207) 240-8656 |
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