Mr Thomas Russell Coleman, MA CCC-SLP in Granada Hills, CA - Medicare Speech-Language Pathologist Provider

Mr Thomas Russell Coleman, MA CCC-SLP is a medicare enrolled "Speech-language Pathologist" provider in Granada Hills, California. His current practice location is 10801 Lindley Ave, Granada Hills, California. You can reach out to his office (for appointments etc.) via phone at (818) 275-4700.

Mr Thomas Russell Coleman is licensed to practice in California (license number SP17176) 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 1215129457.

Contact Information

	Mr Thomas Russell Coleman, MA CCC-SLP
	10801 Lindley Ave, Granada Hills, CA 91344-4441
	(818) 275-4700
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Mr Thomas Russell Coleman
Gender	Male
Speciality	Speech-language Pathologist
Location	10801 Lindley Ave, Granada Hills, California
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1215129457
Provider Enumeration Date: 08/12/2007
Last Update Date: 03/31/2023

Medicare PECOS Information:

PECOS PAC ID: 2769857689
Enrollment ID: I20230406002124

Medical Identifiers

Medical identifiers for Mr Thomas Russell Coleman such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1215129457	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
235Z00000X	Speech-language Pathologist	SP17176 (California)	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 Thomas Russell Coleman allows following entities to bill medicare on his behalf.

Provider Name	Powerback Rehabilitation Llc
Provider Type	Part B Supplier - Clinic/group Practice
Provider Identifiers	NPI Number: 1962001446 PECOS PAC ID: 2365359932 Enrollment ID: O20140731000901

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 Thomas Russell Coleman 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 Thomas Russell Coleman, MA CCC-SLP 7516 Lasaine Ave, Van Nuys, CA 91406-2420 Ph: (818) 564-2781	Mr Thomas Russell Coleman, MA CCC-SLP 10801 Lindley Ave, Granada Hills, CA 91344-4441 Ph: (818) 275-4700

Reviews and Comments

Speech-Language Pathologist in Granada Hills, CA

Generation Speech Therapy, Inc. Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 11150 Bertrand Ave, Granada Hills, CA 91344 Phone: 818-915-1966
Ms. Harriet Laurel Pehde, MA, CCC Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 12801 Meadowlark Ave, Granada Hills, CA 91344 Phone: 818-366-2130 Fax: 818-366-2130
Elocution Solution Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 12801 Meadowlark Ave, Granada Hills, CA 91344 Phone: 818-366-2130 Fax: 818-366-2130
Mrs. Natalie J Faiman, MA, CCC/SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 10315 Woodley Ave, Ste 207, Granada Hills, CA 91344 Phone: 818-554-1457 Fax: 818-401-0576
Shannon Broussalian, M.S., CCC-SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 11150 Bertrand Ave, Granada Hills, CA 91344 Phone: 818-915-1966
Venugopal Malligere Basavaraju, SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 10801 Lindley Ave, Granada Hills, CA 91344 Phone: 818-275-4700

Mr Thomas Russell Coleman, MA CCC-SLP - Medicare Speech-Language Pathologist in Granada Hills, CA