Kimberly Marie Gammon, MS-CCC SLP in Lawrenceville, GA - Medicare Speech-Language Pathologist Provider

Kimberly Marie Gammon, MS-CCC SLP is a medicare enrolled "Speech-language Pathologist" provider in Lawrenceville, Georgia. Her current practice location is 545 Old Norcross Rd Ste 200, Lawrenceville, Georgia. You can reach out to her office (for appointments etc.) via phone at (678) 377-2833.

Kimberly Marie Gammon is licensed to practice in Georgia (license number SLP010982) 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 1982233797.

Contact Information

	Kimberly Marie Gammon, MS-CCC SLP
	545 Old Norcross Rd Ste 200, Lawrenceville, GA 30046-3390
	(678) 377-2833
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Kimberly Marie Gammon
Gender	Female
Speciality	Speech-language Pathologist
Location	545 Old Norcross Rd Ste 200, Lawrenceville, Georgia
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1982233797
Provider Enumeration Date: 04/03/2020
Last Update Date: 04/03/2020

Medicare PECOS Information:

PECOS PAC ID: 0749667699
Enrollment ID: I20220513001706

Medical Identifiers

Medical identifiers for Kimberly Marie Gammon such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1982233797	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
235Z00000X	Speech-language Pathologist	SLP010982 (Georgia)	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. Kimberly Marie Gammon allows following entities to bill medicare on her behalf.

Provider Name	Empowerme Rehabilitation Georgia, Llc
Provider Type	Part B Supplier - Physical/occupational Therapy Group In Private Practice
Provider Identifiers	NPI Number: 1952934374 PECOS PAC ID: 4284063835 Enrollment ID: O20200401003230

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. Kimberly Marie Gammon 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
Kimberly Marie Gammon, MS-CCC SLP 6125 Roswell Rd Unit 442, Atlanta, GA 30328-3936 Ph: (404) 908-2095	Kimberly Marie Gammon, MS-CCC SLP 545 Old Norcross Rd Ste 200, Lawrenceville, GA 30046-3390 Ph: (678) 377-2833

Reviews and Comments

Speech-Language Pathologist in Lawrenceville, GA

Ms. Donna Marie Pharis, ED.S,CCC-SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 545 Old Norcross Rd Ste 100, Lawrenceville, GA 30046 Phone: 678-377-2833 Fax: 678-377-2882
Carrie Latham, MCD, CCC-SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 545 Old Norcross Rd, Suite 100, Lawrenceville, GA 30046 Phone: 678-377-2833 Fax: 678-377-2882
Rita Michelle Moynihan-greenberg, Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 545 Old Norcross Rd Ste 100, Lawrenceville, GA 30046 Phone: 407-310-7378
Katherine Bonas, M.ED., CCC-SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 545 Old Norcross Rd, Suite 100, Lawrenceville, GA 30046 Phone: 678-377-2833 Fax: 678-377-2882
Syeda Ahmed, Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 545 Old Norcross Rd, Lawrenceville, GA 30046 Phone: 678-377-2833
Melinda Kelly, M.ED.,CCC-SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 318 W Pike St, Suite 104, Lawrenceville, GA 30045 Phone: 678-377-2833 Fax: 678-377-2882
Morgan Brianna Serwat, M.ED. CCC-SLP Speech-Language Pathologist Medicare: Medicare Enrolled Practice Location: 545 Old Norcross Rd, Lawrenceville, GA 30046 Phone: 630-441-6102

Kimberly Marie Gammon, MS-CCC SLP - Medicare Speech-Language Pathologist in Lawrenceville, GA