Kennedy Weiland, in Mitchell, SD - Medicare Speech-Language Pathologist Provider

Kennedy Weiland, is a medicare enrolled "Speech-language Pathologist" provider in Mitchell, South Dakota. Her current practice location is 501 W Havens Ave, Suite 103, Mitchell, South Dakota. You can reach out to her office (for appointments etc.) via phone at (605) 995-6044.

Kennedy Weiland is licensed to practice in South Dakota (license number 593-PROV) 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 1396121125.

Contact Information

	Kennedy Weiland,
	501 W Havens Ave, Suite 103, Mitchell, SD 57301-4366
	(605) 995-6044
	(605) 995-6044

Map and Direction

Healthcare Provider's Profile

Full Name	Kennedy Weiland
Gender	Female
Speciality	Speech-language Pathologist
Location	501 W Havens Ave, Mitchell, South Dakota
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1396121125
Provider Enumeration Date: 08/04/2015
Last Update Date: 08/04/2015

Medicare PECOS Information:

PECOS PAC ID: 2961866868
Enrollment ID: I20230911003939

Medical Identifiers

Medical identifiers for Kennedy Weiland such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1396121125	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
235Z00000X	Speech-language Pathologist	593-PROV (South Dakota)	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. Kennedy Weiland allows following entities to bill medicare on her behalf.

Provider Name	Avera Queen Of Peace
Provider Type	Part B Supplier - Clinic/group Practice
Provider Identifiers	NPI Number: 1205359031 PECOS PAC ID: 9335050806 Enrollment ID: O20031229000301

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. Kennedy Weiland 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
Kennedy Weiland, Po Box 1284, Mitchell, SD 57301-7284 Ph: (605) 995-6044	Kennedy Weiland, 501 W Havens Ave, Suite 103, Mitchell, SD 57301-4366 Ph: (605) 995-6044

Reviews and Comments

Speech-Language Pathologist in Mitchell, SD

Kari Pommer, Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 110 N Mentzer St, Mitchell, SD 57301 Phone: 605-995-3021
Stacy Rae Thomsen, MA,CCC/SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 40460 254th St, Mitchell, SD 57301 Phone: 605-996-2899 Fax: 605-996-0721
Ashley Dehaan, Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 200 East Havens, Mitchell, SD 57301 Phone: 605-995-6370 Fax: 605-995-6374
Kristi Driscoll, Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 1023 Palmer Pl, Mitchell, SD 57301 Phone: 605-660-6110
Donna Denure, Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 110 N Mentzer St, Mitchell, SD 57301 Phone: 605-995-3021
Laura Joyce Davis, MA, CCC-SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 500 S Ohlman St, Mitchell, SD 57301 Phone: 605-996-7701
Diana Vander Laan, Speech-Language Pathologist Medicare: Medicare Enrolled Practice Location: 501 W Havens Ave, Suite 103, Mitchell, SD 57301 Phone: 605-995-6044 Fax: 605-995-6044

Kennedy Weiland, - Medicare Speech-Language Pathologist in Mitchell, SD