Kelsey Frances Fagerlin, is a medicare enrolled "Speech-language Pathologist" provider in Belmont, Michigan. Her current practice location is
6284 Belmont Ave Ne, Belmont, Michigan. You can reach out to her office (for appointments etc.) via phone at
(161) 695-1107.
Kelsey Frances Fagerlin is licensed to practice in Michigan (license number 7101008280) 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 1760227532.
Healthcare Provider's Profile
Full Name | Kelsey Frances Fagerlin |
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Gender | Female |
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Speciality | Speech-language Pathologist |
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Location | 6284 Belmont Ave Ne, Belmont, Michigan |
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Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1760227532
- Provider Enumeration Date: 06/25/2024
- Last Update Date: 06/25/2024
Medicare PECOS Information:
- PECOS PAC ID: 8628516598
- Enrollment ID: I20240812000612
Medical Identifiers
Medical identifiers for Kelsey Frances Fagerlin such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1760227532 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
235Z00000X | Speech-language Pathologist | 7101008280 (Michigan) | 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. Kelsey Frances Fagerlin allows following entities to bill medicare on her behalf.
Provider Name | Rockford Speech Therapy Llc |
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Provider Type | Part B Supplier - Clinic/group Practice |
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Provider Identifiers | NPI Number: 1831727585 PECOS PAC ID: 6002223781 Enrollment ID: O20210324002145 |
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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. Kelsey Frances Fagerlin 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 |
Kelsey Frances Fagerlin, 7096 Eastwood Ave, Jenison, MI 49428-8117 Ph: (616) 773-8101 | Kelsey Frances Fagerlin, 6284 Belmont Ave Ne, Belmont, MI 49306-9600 Ph: (161) 695-1107 |
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