Mary T Perozich, MED, CCC-SLP is a medicare enrolled "Speech-language Pathologist" provider in Mt Dora, Florida. Her current practice location is
1303 Limit Ave, Ste.201, Mt Dora, Florida. You can reach out to her office (for appointments etc.) via phone at
(352) 508-7789.
Mary T Perozich is licensed to practice in Texas (license number 105551) 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 1952631566.
Healthcare Provider's Profile
| Full Name | Mary T Perozich |
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| Gender | Female |
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| Speciality | Speech-language Pathologist |
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| Location | 1303 Limit Ave, Mt Dora, Florida |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
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NPI Data:
- NPI Number: 1952631566
- Provider Enumeration Date: 01/04/2010
- Last Update Date: 05/17/2024
Medicare PECOS Information:
- PECOS PAC ID: 2264874668
- Enrollment ID: I20240530004257
Medical Identifiers
Medical identifiers for Mary T Perozich such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1952631566 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 235Z00000X | Speech-language Pathologist | 105551 (Texas) | 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 T Perozich allows following entities to bill medicare on her behalf.
| Provider Name | Cobalt Therapy, Llc |
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| Provider Type | Part B Supplier - Clinic/group Practice |
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| Provider Identifiers | NPI Number: 1821623737
PECOS PAC ID: 9830528777
Enrollment ID: O20200329000265 |
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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 T Perozich 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 |
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Mary T Perozich, MED, CCC-SLP
11161 E State 70, #110-819,
Lakewood Ranch, FL 34202
Ph: (412) 303-0694 | Mary T Perozich, MED, CCC-SLP
1303 Limit Ave, Ste.201,
Mt Dora, FL 32757
Ph: (352) 508-7789 |
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