Mary Lyn Whitaker, in San Jose, CA - Medicare Speech-Language Pathologist Provider

Mary Lyn Whitaker, is a medicare enrolled "Speech-language Pathologist" provider in San Jose, California. Her current practice location is 911 Bern Ct Ste 130, San Jose, California. You can reach out to her office (for appointments etc.) via phone at (408) 437-8864.

Mary Lyn Whitaker is licensed to practice in California (license number 35331) 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 1932666849.

Contact Information

	Mary Lyn Whitaker,
	911 Bern Ct Ste 130, San Jose, CA 95112-1242
	(408) 437-8864
	(408) 437-8865

Map and Direction

Healthcare Provider's Profile

Full Name	Mary Lyn Whitaker
Gender	Female
Speciality	Speech-language Pathologist
Location	911 Bern Ct Ste 130, San Jose, California
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1932666849
Provider Enumeration Date: 02/27/2019
Last Update Date: 06/28/2023

Medicare PECOS Information:

PECOS PAC ID: 8224474697
Enrollment ID: I20240307001600

Medical Identifiers

Medical identifiers for Mary Lyn Whitaker such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1932666849	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
235Z00000X	Speech-language Pathologist	35331 (California)	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. Mary Lyn Whitaker allows following entities to bill medicare on her behalf.

Provider Name	Northbay Healthcare Group
Provider Type	Part B Supplier - Clinic/group Practice
Provider Identifiers	NPI Number: 1821147786 PECOS PAC ID: 0042122244 Enrollment ID: O20031105000409

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. Mary Lyn Whitaker 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
Mary Lyn Whitaker, 36000 Fremont Blvd Apt 167, Fremont, CA 94536-3472 Ph: (831) 402-9652	Mary Lyn Whitaker, 911 Bern Ct Ste 130, San Jose, CA 95112-1242 Ph: (408) 437-8864

Reviews and Comments

Speech-Language Pathologist in San Jose, CA

Mrs. Noreen Yokoyama-chan, M.S., CCC-SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 1101 S Winchester Blvd, San Jose, CA 95128 Phone: 408-425-0012
Liana Mehawej, CCC-SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 4010 Moorpark Ave, Suite 117, San Jose, CA 95117 Phone: 408-249-0770
Amy Kilby, Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 800 Charcot Ave, Suite 110, San Jose, CA 95131 Phone: 650-336-3383
Patricia Anne Serrano, Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 1101 S Winchester Blvd # B-1101, San Jose, CA 95128 Phone: 408-484-1028
Ms. Amy C Haught, MA CCC-SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 911 Bern Ct Ste 130, San Jose, CA 95112 Phone: 408-666-0355
Jessica Roberson, CCC-SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 330 Crescent Village Circle, San Jose, CA 95134 Phone: 858-883-5400
Christy Picetti, Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 1485 Saratoga Ave, Suite 200, San Jose, CA 95129 Phone: 877-991-0009

Mary Lyn Whitaker, - Medicare Speech-Language Pathologist in San Jose, CA