Katlyn Elizabeth Dahlstrom, SLP in Eagan, MN - Medicare Speech-Language Pathologist Provider

Katlyn Elizabeth Dahlstrom, SLP is a medicare enrolled "Speech-language Pathologist" provider in Eagan, Minnesota. Her current practice location is 3305 Central Park Village Dr Ste 130, Eagan, Minnesota. You can reach out to her office (for appointments etc.) via phone at (651) 406-8868.

Katlyn Elizabeth Dahlstrom is licensed to practice in Minnesota (license number 10172) 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 1093082752.

Contact Information

	Katlyn Elizabeth Dahlstrom, SLP
	3305 Central Park Village Dr Ste 130, Eagan, MN 55121-7707
	(651) 406-8868
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Katlyn Elizabeth Dahlstrom
Gender	Female
Speciality	Speech-language Pathologist
Location	3305 Central Park Village Dr Ste 130, Eagan, Minnesota
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1093082752
Provider Enumeration Date: 11/23/2011
Last Update Date: 07/13/2023

Medicare PECOS Information:

PECOS PAC ID: 4688910896
Enrollment ID: I20230830001970

Medical Identifiers

Medical identifiers for Katlyn Elizabeth Dahlstrom such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1093082752	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
235Z00000X	Speech-language Pathologist	4711 SPIN (South Carolina)	Secondary
235Z00000X	Speech-language Pathologist	77035 (Massachusetts)	Secondary
235Z00000X	Speech-language Pathologist	10172 (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. Katlyn Elizabeth Dahlstrom allows following entities to bill medicare on her behalf.

Provider Name	Fairview Express Care
Provider Type	Part B Supplier - Clinic/group Practice
Provider Identifiers	NPI Number: 1053952606 PECOS PAC ID: 3375645179 Enrollment ID: O20081028000548

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. Katlyn Elizabeth Dahlstrom 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
Katlyn Elizabeth Dahlstrom, SLP 408 Cattle Ranch St, Daniel Island, SC 29492 Ph: (585) 613-1448	Katlyn Elizabeth Dahlstrom, SLP 3305 Central Park Village Dr Ste 130, Eagan, MN 55121-7707 Ph: (651) 406-8868

Reviews and Comments

Speech-Language Pathologist in Eagan, MN

Shirin Razavian, Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 2030 Rahn Way, Eagan, MN 55122 Phone: 651-529-1960
Claudia Christensen-major, MACCCSLP Speech-Language Pathologist Medicare: Medicare Enrolled Practice Location: 2795 Pilot Knob Rd, Suite 100, Eagan, MN 55121 Phone: 651-994-9644 Fax: 651-994-8962
Kelly Carlson, MACCCSLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 2795 Pilot Knob Rd, Suite 100, Eagan, MN 55121 Phone: 651-994-9644 Fax: 651-994-8962
Jennifer Bailey, MACCCSLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 2795 Pilot Knob Rd, Suite #100, Eagan, MN 55121 Phone: 651-994-9644 Fax: 651-994-8962
Amanda Enstrom, M.A., CCC-SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 3464 Washington Dr, Suite 110, Eagan, MN 55122 Phone: 952-460-4278
Kelsey Falligant, Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 2795 Pilot Knob Rd Ste 100, Eagan, MN 55121 Phone: 651-994-9644

Katlyn Elizabeth Dahlstrom, SLP - Medicare Speech-Language Pathologist in Eagan, MN