Mr Joshuaa Dominic Allison-burbank, MA, CCC-SLP in Shiprock, NM - Medicare Speech-Language Pathologist Provider

Mr Joshuaa Dominic Allison-burbank, MA, CCC-SLP is a medicare enrolled "Speech-language Pathologist" provider in Shiprock, New Mexico. His current practice location is Us Hwy 491 North, Shiprock, New Mexico. You can reach out to his office (for appointments etc.) via phone at (505) 368-6001.

Mr Joshuaa Dominic Allison-burbank is licensed to practice in Kansas (license number 4024) 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 1114302148.

Contact Information

	Mr Joshuaa Dominic Allison-burbank, MA, CCC-SLP
	Us Hwy 491 North, Shiprock, NM 87420
	(505) 368-6001
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Mr Joshuaa Dominic Allison-burbank
Gender	Male
Speciality	Speech-language Pathologist
Location	Us Hwy 491 North, Shiprock, New Mexico
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1114302148
Provider Enumeration Date: 07/20/2015
Last Update Date: 02/21/2020

Medicare PECOS Information:

PECOS PAC ID: 4587942065
Enrollment ID: I20200310000085

Medical Identifiers

Medical identifiers for Mr Joshuaa Dominic Allison-burbank such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1114302148	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
235Z00000X	Speech-language Pathologist	4024 (Kansas)	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 Joshuaa Dominic Allison-burbank allows following entities to bill medicare on his behalf.

Provider Name	Dhhs Phs Naihs Shiprock Hospital
Provider Type	Part B Supplier - Clinic/group Practice
Provider Identifiers	NPI Number: 1780639971 PECOS PAC ID: 0749193837 Enrollment ID: O20031105000809

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 Joshuaa Dominic Allison-burbank 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 Joshuaa Dominic Allison-burbank, MA, CCC-SLP Po Box 160, Shiprock, NM 87420-0160 Ph: (505) 368-6001	Mr Joshuaa Dominic Allison-burbank, MA, CCC-SLP Us Hwy 491 North, Shiprock, NM 87420 Ph: (505) 368-6001

Reviews and Comments

Speech-Language Pathologist in Shiprock, NM

Ms. Heidi E. Larson, M.S., CCC-SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: Us Hwy 64 Old High School Road, Shiprock, NM 87420 Phone: 505-368-5163 Fax: 505-368-5502
Ellen Liversidge, M.S., CCC-SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: Hwy 64, Old High School Rd., Shiprock, NM 87420 Phone: 505-368-4984
Ms. Cheryl Lea Oelze, Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: Us Hwy 64 Old High School Road, Shiprock, NM 87420 Phone: 505-368-5163 Fax: 505-368-5502
Paula M. Magnuson, MS Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: Us Hwy 64 Old High School Road, Shiprock, NM 87420 Phone: 505-368-5163 Fax: 505-368-5502
Patricia Hill, Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: Old Shiprock Highschool Rd, Bldg B, Shiprock, NM 87420 Phone: 505-368-5163 Fax: 505-368-5502
Michael Hathcock, MS CCC-SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: Po Box 1199, Shiprock, NM 87420 Phone: 505-368-4984

Mr Joshuaa Dominic Allison-burbank, MA, CCC-SLP - Medicare Speech-Language Pathologist in Shiprock, NM