Kendra R Fustin, in Port Orange, FL - Medicare Speech-Language Pathologist Provider

Kendra R Fustin, is a medicare enrolled "Speech-language Pathologist" provider in Port Orange, Florida. Her current practice location is 3875 Yorktowne Blvd, Port Orange, Florida. You can reach out to her office (for appointments etc.) via phone at (386) 465-3378.

Kendra R Fustin is licensed to practice in Florida (license number 17370) 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 1205334463.

Contact Information

	Kendra R Fustin,
	3875 Yorktowne Blvd, Port Orange, FL 32129-6051
	(386) 465-3378
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Kendra R Fustin
Gender	Female
Speciality	Speech-language Pathologist
Location	3875 Yorktowne Blvd, Port Orange, Florida
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1205334463
Provider Enumeration Date: 01/23/2018
Last Update Date: 09/18/2024

Medicare PECOS Information:

PECOS PAC ID: 4385017805
Enrollment ID: I20230303001819

Medical Identifiers

Medical identifiers for Kendra R Fustin such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1205334463	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
235Z00000X	Speech-language Pathologist	17370 (Florida)	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. Kendra R Fustin allows following entities to bill medicare on her behalf.

Provider Name	Empowerme Rehabilitation Florida, Llc
Provider Type	Part B Supplier - Physical/occupational Therapy Group In Private Practice
Provider Identifiers	NPI Number: 1184257602 PECOS PAC ID: 3274962790 Enrollment ID: O20200406000039

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. Kendra R Fustin 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
Kendra R Fustin, 1996 Yellowfin Dr, Port Orange, FL 32128-3016 Ph: (210) 850-2024	Kendra R Fustin, 3875 Yorktowne Blvd, Port Orange, FL 32129-6051 Ph: (386) 465-3378

Reviews and Comments

Speech-Language Pathologist in Port Orange, FL

Emily Symons, Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 5535 S Williamson Blvd, Port Orange, FL 32128 Phone: 888-265-2680
Margaret Whiteside, Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 5535 S Williamson Blvd, Ste 774, Port Orange, FL 32128 Phone: 800-330-7711 Fax: 866-426-2811
Dana Dempsey, Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 5400 S Williamson Blvd, Apt 1-209, Port Orange, FL 32128 Phone: 989-400-7383
Lauren Brizzolara, Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 5535 S Williamson Blvd, Suite 774, Port Orange, FL 32128 Phone: 386-756-4395 Fax: 386-944-7202
Sabrina Ramji, Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 5535 S Williamson Blvd Ste 774, Port Orange, FL 32128 Phone: 800-330-7711
Kirsten Woods, SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 5535 S Williamson Blvd, Suite 774, Port Orange, FL 32128 Phone: 386-756-4395 Fax: 386-944-7202
Tasha L Prewitt, Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 5535 S Williamson Blvd Ste 774, Port Orange, FL 32128 Phone: 888-265-2680

Kendra R Fustin, - Medicare Speech-Language Pathologist in Port Orange, FL