Kelsey Sue Summerville, MS in Wahpeton, ND - Medicare Qualified Speech Language Pathologist Provider

Kelsey Sue Summerville, MS is a medicare enrolled "Speech-language Pathologist" provider in Wahpeton, North Dakota. She graduated from medical school in 2015 and has 9 years of diverse experience with area of expertise as Qualified Speech Language Pathologist. She is a member of the group practice Orthopedic And Sports Physical Therapy, Inc, Orthopedic And Sports Physical Therapy, Inc and her current practice location is 508 9th St N, Wahpeton, North Dakota. You can reach out to her office (for appointments etc.) via phone at (701) 642-3050.

Kelsey Sue Summerville is licensed to practice in Minnesota (license number 9493) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1659827848.

Contact Information

	Kelsey Sue Summerville, MS
	508 9th St N, Wahpeton, ND 58075-4098
	(701) 642-3050
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Kelsey Sue Summerville
Gender	Female
Speciality	Qualified Speech Language Pathologist
Experience	9 Years
Location	508 9th St N, Wahpeton, North Dakota
Accepts Medicare Assignments	Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Kelsey Sue Summerville graduated from medical school in 2015

NPI Data:

NPI Number: 1659827848
Provider Enumeration Date: 08/29/2016
Last Update Date: 08/13/2024

Medicare PECOS Information:

PECOS PAC ID: 2466748694
Enrollment ID: I20160914000493

Medical Identifiers

Medical identifiers for Kelsey Sue Summerville such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1659827848	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
235Z00000X	Speech-language Pathologist	9493 (Minnesota)	Primary

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Orthopedic And Sports Physical Therapy, Inc	7416901921	10
Orthopedic And Sports Physical Therapy, Inc	7416901921	10

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 Sue Summerville allows following entities to bill medicare on her behalf.

Provider Name	Orthopedic & Sports Physical Therapy, Inc
Provider Type	Part B Supplier - Clinic/group Practice
Provider Identifiers	NPI Number: 1811923535 PECOS PAC ID: 7416901921 Enrollment ID: O20050308000871

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 Sue Summerville 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 Sue Summerville, MS 508 9th St N, Wahpeton, ND 58075-4098 Ph: (701) 642-3050	Kelsey Sue Summerville, MS 508 9th St N, Wahpeton, ND 58075-4098 Ph: (701) 642-3050

Reviews and Comments

Speech-Language Pathologist in Wahpeton, ND

Rosanne Lysne, Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 18055 79 1/2 St Se, Wahpeton, ND 58075 Phone: 701-642-3375
Sarah Haley, Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 508 9th St N, Wahpeton, ND 58075 Phone: 701-642-6741
Kristi Nordick, Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 508 9th St N, Wahpeton, ND 58075 Phone: 701-642-3050
Deborah Loberg, SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 1307 7th St N, Wahpeton, ND 58075 Phone: 763-689-5385

Kelsey Sue Summerville, MS - Medicare Speech-Language Pathologist in Wahpeton, ND