Kierstyn Johnson-wigfall, in Midlothian, VA - Medicare Speech-Language Pathologist Provider

Kierstyn Johnson-wigfall, is a medicare enrolled "Speech-language Pathologist" provider in Midlothian, Virginia. Her current practice location is 13900 Hull Street Rd, Midlothian, Virginia. You can reach out to her office (for appointments etc.) via phone at (804) 639-8788.

Kierstyn Johnson-wigfall is licensed to practice in Virginia (license number 2202006559) 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 1932569712.

Contact Information

	Kierstyn Johnson-wigfall,
	13900 Hull Street Rd, Midlothian, VA 23112-2004
	(804) 639-8788
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Kierstyn Johnson-wigfall
Gender	Female
Speciality	Speech-language Pathologist
Location	13900 Hull Street Rd, Midlothian, Virginia
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1932569712
Provider Enumeration Date: 03/07/2016
Last Update Date: 10/11/2018

Medicare PECOS Information:

PECOS PAC ID: 6507218252
Enrollment ID: I20240117004763

Medical Identifiers

Medical identifiers for Kierstyn Johnson-wigfall such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1932569712	NPI	-	NPPES
1932569712	Medicaid	VA

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
235Z00000X	Speech-language Pathologist	2202006559 (Virginia)	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. Kierstyn Johnson-wigfall allows following entities to bill medicare on her behalf.

Provider Name	Functional Pathways Preferred Of Tennessee Llc
Provider Type	Part B Supplier - Clinic/group Practice
Provider Identifiers	NPI Number: 1841561446 PECOS PAC ID: 2860649654 Enrollment ID: O20120830000086

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. Kierstyn Johnson-wigfall 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
Kierstyn Johnson-wigfall, 12001 Iron Bridge Rd, Chester, VA 23831-1460 Ph: () -	Kierstyn Johnson-wigfall, 13900 Hull Street Rd, Midlothian, VA 23112-2004 Ph: (804) 639-8788

Reviews and Comments

Speech-Language Pathologist in Midlothian, VA

Miss Kathryn Easley, M.S., CF-SLP Speech-Language Pathologist Medicare: Accepting Medicare Assignments Practice Location: 1 Park West Cir, Suite 108, Midlothian, VA 23114 Phone: 800-969-9265 Fax: 804-482-2647
Hayley Wenner, Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 13900 Hull Street Rd, Midlothian, VA 23112 Phone: 804-639-8900
Paige Parker, MS, CF-SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 14366 Sommerville Ct, Midlothian, VA 23113 Phone: 804-601-6010 Fax: 804-285-0292
Sonya Willard, Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 13900 Hull Street Rd, Midlothian, VA 23112 Phone: 804-639-8788
Karen Sue Ford, Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 13714 Nashua Ter, Midlothian, VA 23112 Phone: 804-683-8470
Molly Shearer, Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 13900 Hull Street Rd, Midlothian, VA 23112 Phone: 804-639-8788
Jennie Watson, Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 13900 Hull Street Rd, Midlothian, VA 23112 Phone: 804-639-8788

Kierstyn Johnson-wigfall, - Medicare Speech-Language Pathologist in Midlothian, VA