Mrs Angela Rae Derouin, MS, CCC-SLP in Brookfield, WI - Medicare Speech-Language Pathologist Provider

Mrs Angela Rae Derouin, MS, CCC-SLP is a medicare enrolled "Speech-language Pathologist" provider in Brookfield, Wisconsin. Her current practice location is 200 N Patrick Blvd Ste 250, Brookfield, Wisconsin. You can reach out to her office (for appointments etc.) via phone at (262) 255-1180.

Mrs Angela Rae Derouin is licensed to practice in * (Not Available) (license number 3231-154) 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 1760710693.

Contact Information

	Mrs Angela Rae Derouin, MS, CCC-SLP
	200 N Patrick Blvd Ste 250, Brookfield, WI 53045-5883
	(262) 255-1180
	(262) 255-1638

Map and Direction

Healthcare Provider's Profile

Full Name	Mrs Angela Rae Derouin
Gender	Female
Speciality	Speech-language Pathologist
Location	200 N Patrick Blvd Ste 250, Brookfield, Wisconsin
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1760710693
Provider Enumeration Date: 12/04/2009
Last Update Date: 09/25/2023

Medicare PECOS Information:

PECOS PAC ID: 1456714047
Enrollment ID: I20230830000802

Medical Identifiers

Medical identifiers for Mrs Angela Rae Derouin such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1760710693	NPI	-	NPPES
100007790	Medicaid	WI

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
235Z00000X	Speech-language Pathologist	3231-154 (* (Not Available))	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. Mrs Angela Rae Derouin allows following entities to bill medicare on her behalf.

Provider Name	Aurora Medical Group, Inc.
Provider Type	Part B Supplier - Clinic/group Practice
Provider Identifiers	NPI Number: 1427271378 PECOS PAC ID: 6709794258 Enrollment ID: O20031105000725

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. Mrs Angela Rae Derouin 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
Mrs Angela Rae Derouin, MS, CCC-SLP 200 N Patrick Blvd Ste 250, Brookfield, WI 53045-5883 Ph: (888) 754-0398	Mrs Angela Rae Derouin, MS, CCC-SLP 200 N Patrick Blvd Ste 250, Brookfield, WI 53045-5883 Ph: (262) 255-1180

Reviews and Comments

Speech-Language Pathologist in Brookfield, WI

Katie Elizabeth Gubbins, MS CCC-SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 3360 Gateway Rd, Brookfield, WI 53045 Phone: 414-339-5542
Kate Jablonski, SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 17280 W North Ave, #104, Brookfield, WI 53045 Phone: 262-780-0707
Mrs. Erica Lee Lyons, MS, CF-SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 17700 W Capitol Dr, Brookfield, WI 53045 Phone: 262-781-3083 Fax: 262-781-3080
Mrs. Sandra K Merkel, MS, CCC-SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 1305 N Barker Rd, Brookfield, WI 53045 Phone: 262-391-5314
Madeleine Elizabeth Fitzgerald, CCC-SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 200 N Patrick Blvd Ste 250, Brookfield, WI 53045 Phone: 888-754-0398
Amy Unger, SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 17280 W North Ave, #104, Brookfield, WI 53045 Phone: 262-780-0707
Lindy Marie Frechette, MS, CCC-SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 3360 Gateway Rd Ste 100, Brookfield, WI 53045 Phone: 262-295-6289

Mrs Angela Rae Derouin, MS, CCC-SLP - Medicare Speech-Language Pathologist in Brookfield, WI