Micaela Temple Andrus, SLP is a medicare enrolled "Speech-language Pathologist" provider in Liberty, Mississippi. Her current practice location is
115 Industrial Park Drive, Liberty, Mississippi. You can reach out to her office (for appointments etc.) via phone at
(601) 778-0245.
Micaela Temple Andrus is licensed to practice in Mississippi (license number 4780) 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 1639958333.
Healthcare Provider's Profile
Full Name | Micaela Temple Andrus |
---|
Gender | Female |
---|
Speciality | Speech-language Pathologist |
---|
Location | 115 Industrial Park Drive, Liberty, Mississippi |
---|
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1639958333
- Provider Enumeration Date: 09/22/2023
- Last Update Date: 08/12/2024
Medicare PECOS Information:
- PECOS PAC ID: 0941656458
- Enrollment ID: I20231024002425
Medical Identifiers
Medical identifiers for Micaela Temple Andrus such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1639958333 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
235Z00000X | Speech-language Pathologist | 4780 (Mississippi) | 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. Micaela Temple Andrus allows following entities to bill medicare on her behalf.
Provider Name | Pure Therapy, Llc |
---|
Provider Type | Part B Supplier - Clinic/group Practice |
---|
Provider Identifiers | NPI Number: 1669251369 PECOS PAC ID: 9032565544 Enrollment ID: O20231019001364 |
---|
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. Micaela Temple Andrus 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 |
Micaela Temple Andrus, SLP Po Box 188, Liberty, MS 39645-0188 Ph: (601) 778-0245 | Micaela Temple Andrus, SLP 115 Industrial Park Drive, Liberty, MS 39645 Ph: (601) 778-0245 |
Reviews and Comments