Mr Ethan Kristek, MS, CCC-SLP in Mount Vernon, MO - Medicare Speech-Language Pathologist Provider

Mr Ethan Kristek, MS, CCC-SLP is a medicare enrolled "Speech-language Pathologist" provider in Mount Vernon, Missouri. His current practice location is 1600 S Hickory St, Mount Vernon, Missouri. You can reach out to his office (for appointments etc.) via phone at (417) 466-7103.

Mr Ethan Kristek is licensed to practice in Missouri (license number 2016020591) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1629420369.

Contact Information

	Mr Ethan Kristek, MS, CCC-SLP
	1600 S Hickory St, Mount Vernon, MO 65712-2045
	(417) 466-7103
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Mr Ethan Kristek
Gender	Male
Speciality	Speech-language Pathologist
Location	1600 S Hickory St, Mount Vernon, Missouri
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1629420369
Provider Enumeration Date: 07/06/2016
Last Update Date: 07/06/2016

Medicare PECOS Information:

PECOS PAC ID: 3173912920
Enrollment ID: I20211116002241

Medical Identifiers

Medical identifiers for Mr Ethan Kristek such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1629420369	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
235Z00000X	Speech-language Pathologist	2016020591 (Missouri)	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. Mr Ethan Kristek allows following entities to bill medicare on his behalf.

Provider Name	Encore Rehabilitation Services Llc
Provider Type	Part B Supplier - Clinic/group Practice
Provider Identifiers	NPI Number: 1336896240 PECOS PAC ID: 8123403904 Enrollment ID: O20221114000295

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. Mr Ethan Kristek 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
Mr Ethan Kristek, MS, CCC-SLP 309 W Seminole St, Springfield, MO 65807-2959 Ph: () -	Mr Ethan Kristek, MS, CCC-SLP 1600 S Hickory St, Mount Vernon, MO 65712-2045 Ph: (417) 466-7103

Reviews and Comments

Speech-Language Pathologist in Mount Vernon, MO

Linda Collier, CF-SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 1600 S Hickory St, Mount Vernon, MO 65712 Phone: 417-466-7103 Fax: 417-466-4040
Ka Cheuk, M.S., CCC-SLP Speech-Language Pathologist Medicare: Medicare Enrolled Practice Location: 1600 S Hickory St, Mount Vernon, MO 65712 Phone: 417-466-7103
Mrs. Mary Elisabeth Aslin, M.A., CCC-SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 600 N. Main, Missouri Rehabilitation Center, Mount Vernon, MO 65712 Phone: 417-461-5323
Ali Long, Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 301 E Blaze Rd, Mount Vernon, MO 65712 Phone: 417-466-7512
Billie Knipfer, SLP-CF Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 1600 S Hickory St, Mount Vernon, MO 65712 Phone: 312-405-5677
Mrs. Emily Renee Huey, Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 1425 S Landrum St, Mount Vernon, MO 65712 Phone: 417-466-2260

Mr Ethan Kristek, MS, CCC-SLP - Medicare Speech-Language Pathologist in Mount Vernon, MO