Kira Enid Medina-tiencken, MS, CCC-SLP in Bloomfield, NJ - Medicare Speech-Language Pathologist Provider

Kira Enid Medina-tiencken, MS, CCC-SLP is a medicare enrolled "Speech-language Pathologist" provider in Bloomfield, New Jersey. Her current practice location is 31 Chestnut Ter, Bloomfield, New Jersey. You can reach out to her office (for appointments etc.) via phone at (862) 812-1552.

Kira Enid Medina-tiencken is licensed to practice in New Jersey (license number 41YS00796200) 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 1336631902.

Contact Information

	Kira Enid Medina-tiencken, MS, CCC-SLP
	31 Chestnut Ter, Bloomfield, NJ 07003-4408
	(862) 812-1552
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Kira Enid Medina-tiencken
Gender	Female
Speciality	Speech-language Pathologist
Location	31 Chestnut Ter, Bloomfield, New Jersey
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1336631902
Provider Enumeration Date: 05/30/2018
Last Update Date: 05/30/2018

Medicare PECOS Information:

PECOS PAC ID: 7618316530
Enrollment ID: I20240411002582

Medical Identifiers

Medical identifiers for Kira Enid Medina-tiencken such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1336631902	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
235Z00000X	Speech-language Pathologist	41YS00796200 (New Jersey)	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. Kira Enid Medina-tiencken allows following entities to bill medicare on her behalf.

Provider Name	Expressable Therapy Of New Jersey Pc
Provider Type	Part B Supplier - Clinic/group Practice
Provider Identifiers	NPI Number: 1811615685 PECOS PAC ID: 2062889512 Enrollment ID: O20221114000525

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. Kira Enid Medina-tiencken 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
Kira Enid Medina-tiencken, MS, CCC-SLP 31 Chestnut Ter, Bloomfield, NJ 07003-4408 Ph: (862) 812-1552	Kira Enid Medina-tiencken, MS, CCC-SLP 31 Chestnut Ter, Bloomfield, NJ 07003-4408 Ph: (862) 812-1552

Reviews and Comments

Speech-Language Pathologist in Bloomfield, NJ

Tanvi Amin, Speech-Language Pathologist Medicare: Accepting Medicare Assignments Practice Location: 20 Alexander Ave, Bloomfield, NJ 07003 Phone: 646-300-5689
Jane E. Hodges, Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 40 Conger St Apt 1512b, Bloomfield, NJ 07003 Phone: 973-412-5313
Miss Brittney Emaan Georges, M.A. CCC-SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 125 Belleville Ave, Bloomfield, NJ 07003 Phone: 973-943-6862
Cynthia Soder Harven, MA,CCC/SLP,ATS Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 51 Ernst Ave, Bloomfield, NJ 07003 Phone: 201-563-5891 Fax: 201-563-5891
Ms. Kristin Mchugh, M.S., CCC/SLP Speech-Language Pathologist Medicare: Accepting Medicare Assignments Practice Location: 38 Yantecaw Ave, Bloomfield, NJ 07003 Phone: 973-893-0193
Kathleen Palatucci, MA CCC SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 1515 Broad St Bldg B, Bloomfield, NJ 07003 Phone: 973-655-7364
Diane Polledri, MA, CCC-SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 1515 Broad St, Msu-caslp, Bloomfield, NJ 07003 Phone: 973-655-7946

Kira Enid Medina-tiencken, MS, CCC-SLP - Medicare Speech-Language Pathologist in Bloomfield, NJ