Krystin Michele Petzoldt, CCC-SLP - Medicare Speech-Language Pathologist in Oswego, NY

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Krystin Michele Petzoldt, CCC-SLP is a medicare enrolled "Speech-language Pathologist" provider in Oswego, New York. Her current practice location is 159 W 1st St, Oswego, New York. You can reach out to her office (for appointments etc.) via phone at (716) 359-8335.

Krystin Michele Petzoldt is licensed to practice in New York (license number 022446-1) 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 1275965022.

Contact Information

Krystin Michele Petzoldt, CCC-SLP
159 W 1st St,
Oswego, NY 13126-2045
(716) 359-8335
Not Available

Map and Direction




Healthcare Provider's Profile

Full NameKrystin Michele Petzoldt
GenderFemale
SpecialitySpeech-language Pathologist
Location159 W 1st St, Oswego, New York
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1275965022
  • Provider Enumeration Date: 08/04/2013
  • Last Update Date: 05/20/2016
  Medicare PECOS Information:
  • PECOS PAC ID: 3375836794
  • Enrollment ID: I20160722001341

Medical Identifiers

Medical identifiers for Krystin Michele Petzoldt such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1275965022NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
235Z00000XSpeech-language Pathologist 022446-1 (New York)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. Krystin Michele Petzoldt allows following entities to bill medicare on her behalf.
Provider NameNysarc Inc
Provider TypePart B Supplier - Clinic/group Practice
Provider IdentifiersNPI Number: 1457458424
PECOS PAC ID: 4486749751
Enrollment ID: O20071002000071

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. Krystin Michele Petzoldt 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 AddressPractice Location Address
Krystin Michele Petzoldt, CCC-SLP
18 Main St,
Mount Morris, NY 14510-1036

Ph: (585) 658-2828		Krystin Michele Petzoldt, CCC-SLP
159 W 1st St,
Oswego, NY 13126-2045

Ph: (716) 359-8335

Reviews and Comments


Speech-Language Pathologist in Oswego, NY

Mrs. Melissa Ann Phillips, MS CCC-SLP
Speech-Language Pathologist
Medicare: Not Enrolled in Medicare
Practice Location: 159 W 1st St, Oswego, NY 13126
Phone: 315-342-9575    
Meredith Austin, SLP
Speech-Language Pathologist
Medicare: Not Enrolled in Medicare
Practice Location: 159 W 1st St, Oswego, NY 13126
Phone: 315-342-9575    Fax: 315-342-7664
Melissa Virginia Dauccio,
Speech-Language Pathologist
Medicare: Not Enrolled in Medicare
Practice Location: 159 W 1st St, Oswego, NY 13126
Phone: 315-342-9575    
Emily Poulton, M.S. CCC-SLP
Speech-Language Pathologist
Medicare: Not Enrolled in Medicare
Practice Location: 1 Buccaneer Blvd, Oswego, NY 13126
Phone: 315-341-2600    
Sarah Grace Harper,
Speech-Language Pathologist
Medicare: Not Enrolled in Medicare
Practice Location: 299 E River Rd, Oswego, NY 13126
Phone: 315-342-3166    
Juliet C Abendroth, MA CCC-SLP
Speech-Language Pathologist
Medicare: Not Enrolled in Medicare
Practice Location: 159 W 1st St, Oswego, NY 13126
Phone: 315-342-4600    
Mrs. Dana Donovan, MS. CCC-SLP
Speech-Language Pathologist
Medicare: Not Enrolled in Medicare
Practice Location: 110 W 6th St, Suite 140, Oswego, NY 13126
Phone: 315-349-5558    Fax: 315-349-5652

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.