Kelly Douglass, SLP in Roseville, CA - Medicare Speech-Language Pathologist Provider

Kelly Douglass, SLP is a medicare enrolled "Speech-language Pathologist" provider in Roseville, California. Her current practice location is 707 Sunrise Ave, Roseville, California. You can reach out to her office (for appointments etc.) via phone at (916) 247-9629.

Kelly Douglass is licensed to practice in California (license number 12012) 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 1679254494.

Contact Information

	Kelly Douglass, SLP
	707 Sunrise Ave, Roseville, CA 95661-4524
	(916) 247-9629
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Kelly Douglass
Gender	Female
Speciality	Speech-language Pathologist
Location	707 Sunrise Ave, Roseville, California
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1679254494
Provider Enumeration Date: 07/25/2023
Last Update Date: 07/25/2023

Medicare PECOS Information:

PECOS PAC ID: 2466814850
Enrollment ID: I20230816004432

Medical Identifiers

Medical identifiers for Kelly Douglass such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1679254494	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
235Z00000X	Speech-language Pathologist	12012 (California)	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. Kelly Douglass allows following entities to bill medicare on her behalf.

Provider Name	Orthopaedic And Neurological Rehab Inc
Provider Type	Part B Supplier - Physical/occupational Therapy Group In Private Practice
Provider Identifiers	NPI Number: 1225496540 PECOS PAC ID: 6507159126 Enrollment ID: O20160720000431

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. Kelly Douglass 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
Kelly Douglass, SLP 504 Cranborne Ct, Roseville, CA 95747-6291 Ph: (916) 247-9629	Kelly Douglass, SLP 707 Sunrise Ave, Roseville, CA 95661-4524 Ph: (916) 247-9629

Reviews and Comments

Speech-Language Pathologist in Roseville, CA

Yvonne Katsuyama, , M.S., CCC-SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 1700 Eureka Rd Ste 155, Roseville, CA 95661 Phone: 916-276-0823
Julie E Seiler, MS Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 151 N Sunrise Ave, Suite 1105, Roseville, CA 95661 Phone: 916-771-8255 Fax: 916-771-8211
Mrs. Christin Hopp Brackett, M.S., CCC-SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 151 N Sunrise Ave, Suite 1105, Roseville, CA 95661 Phone: 916-771-8255
Tatiana Loza -hine, SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 600 Sunrise Ave, Roseville, CA 95661 Phone: 916-782-3131
Mrs. Lori Jean Linder, M.S. CCC-SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 2530 Douglas Blvd Ste 110, Roseville, CA 95661 Phone: 530-758-8944 Fax: 530-758-4302
Emily Hunn, M.S. SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 151 N Sunrise Ave, Suite 1105, Roseville, CA 95661 Phone: 916-771-8255 Fax: 916-771-8211
Charlotte Yang, MS Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 151 N Sunrise Ave Ste 1105, Roseville, CA 95661 Phone: 916-771-8255 Fax: 916-771-8211

Kelly Douglass, SLP - Medicare Speech-Language Pathologist in Roseville, CA