Marissa Michelle Doletzky, in Rockford, MI - Medicare Speech-Language Pathologist Provider

Marissa Michelle Doletzky, is a medicare enrolled "Speech-language Pathologist" provider in Rockford, Michigan. Her current practice location is 345 1/2 Sigsbee St, Rockford, Michigan. You can reach out to her office (for appointments etc.) via phone at (602) 881-1753.

Marissa Michelle Doletzky is licensed to practice in Michigan (license number 7101005715) 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 1245786227.

Contact Information

	Marissa Michelle Doletzky,
	345 1/2 Sigsbee St, Rockford, MI 49341-1029
	(602) 881-1753
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Marissa Michelle Doletzky
Gender	Female
Speciality	Speech-language Pathologist
Location	345 1/2 Sigsbee St, Rockford, Michigan
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1245786227
Provider Enumeration Date: 08/30/2016
Last Update Date: 06/19/2019

Medicare PECOS Information:

PECOS PAC ID: 9133551807
Enrollment ID: I20191119000051

Medical Identifiers

Medical identifiers for Marissa Michelle Doletzky such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1245786227	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
235Z00000X	Speech-language Pathologist	7101005715 (Michigan)	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. Marissa Michelle Doletzky allows following entities to bill medicare on her behalf.

Provider Name	Rockford Speech Therapy Llc
Provider Type	Part B Supplier - Clinic/group Practice
Provider Identifiers	NPI Number: 1831727585 PECOS PAC ID: 6002223781 Enrollment ID: O20210324002145

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. Marissa Michelle Doletzky 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
Marissa Michelle Doletzky, 345 1/2 Sigsbee St, Rockford, MI 49341-1029 Ph: (602) 881-1753	Marissa Michelle Doletzky, 345 1/2 Sigsbee St, Rockford, MI 49341-1029 Ph: (602) 881-1753

Reviews and Comments

Speech-Language Pathologist in Rockford, MI

Mrs. Jodi Marie Mitchell, Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 8069 Cannonsburg Rd Ne, Rockford, MI 49341 Phone: 616-874-5304
Kayla Marie Vanderlaan, M.A., CCC-SLP Speech-Language Pathologist Medicare: Medicare Enrolled Practice Location: 570 E Division St, Rockford, MI 49341 Phone: 616-447-7799 Fax: 616-724-4117
Breanna Lacey Fialek, Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 570 E Division St, Rockford, MI 49341 Phone: 231-670-1836
Colleen Pollock Lewis, M.S. CCC-SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 5307 Cristo Dr Ne, Rockford, MI 49341 Phone: 616-450-1802 Fax: 866-218-3441
Jessica Dillon, CCC-SLP Speech-Language Pathologist Medicare: Accepting Medicare Assignments Practice Location: 570 E Division St, Rockford, MI 49341 Phone: 616-447-7799
Danae Alexis Howe, MA CF-SLP Speech-Language Pathologist Medicare: Medicare Enrolled Practice Location: 515 E. Division St., Suite 145, Rockford, MI 49341 Phone: 616-863-3113

Marissa Michelle Doletzky, - Medicare Speech-Language Pathologist in Rockford, MI