Misty Blaylock, MA, CCC-SLP in Berea, KY - Medicare Speech-Language Pathologist Provider

Misty Blaylock, MA, CCC-SLP is a medicare enrolled "Speech-language Pathologist" provider in Berea, Kentucky. Her current practice location is 1043 Brooklyn Blvd, Berea, Kentucky. You can reach out to her office (for appointments etc.) via phone at (859) 228-0551.

Misty Blaylock is licensed to practice in Kentucky (license number 138621) 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 1821597006.

Contact Information

	Misty Blaylock, MA, CCC-SLP
	1043 Brooklyn Blvd, Berea, KY 40403-1090
	(859) 228-0551
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Misty Blaylock
Gender	Female
Speciality	Speech-language Pathologist
Location	1043 Brooklyn Blvd, Berea, Kentucky
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1821597006
Provider Enumeration Date: 02/02/2018
Last Update Date: 02/02/2018

Medicare PECOS Information:

PECOS PAC ID: 8325485709
Enrollment ID: I20240320003784

Medical Identifiers

Medical identifiers for Misty Blaylock such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1821597006	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
235Z00000X	Speech-language Pathologist	138621 (Kentucky)	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. Misty Blaylock allows following entities to bill medicare on her behalf.

Provider Name	Empowerme Rehabilitation Kentucky, Llc
Provider Type	Part B Supplier - Clinic/group Practice
Provider Identifiers	NPI Number: 1275166696 PECOS PAC ID: 1850729211 Enrollment ID: O20200402002590

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. Misty Blaylock 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
Misty Blaylock, MA, CCC-SLP 1013 Cherry Ct, Richmond, KY 40475-8902 Ph: () -	Misty Blaylock, MA, CCC-SLP 1043 Brooklyn Blvd, Berea, KY 40403-1090 Ph: (859) 228-0551

Reviews and Comments

Speech-Language Pathologist in Berea, KY

Kela Parton, Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 752 Richmond Rd N, Berea, KY 40403 Phone: 859-353-3666
Morgan Popham, M.S. Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 752 Richmond Rd N, Berea, KY 40403 Phone: 859-353-3666
Christina Clark, Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 524 Macrander Dr, Berea, KY 40403 Phone: 859-626-2107
Michelle Lynn-hogg Raney, MS, CCC-SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 210 N Broadway St, Suite 5, Berea, KY 40403 Phone: 859-353-3666 Fax: 859-448-7077
Toddler Talk: Speech-language Pathology Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 643 Sweetwater Rd, Berea, KY 40403 Phone: 606-308-5396 Fax: 606-256-9427
Toni Alecia Shepherd, M.A.E.D Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 111 Legacy Dr, Berea, KY 40403 Phone: 606-224-3400
Erin Brown, Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 752 Richmond Rd N, Berea, KY 40403 Phone: 859-353-3666

Misty Blaylock, MA, CCC-SLP - Medicare Speech-Language Pathologist in Berea, KY