Mrs Caroline J Pak, MS CCC-SLP in Woodland Hills, CA - Medicare Speech-Language Pathologist Provider

Mrs Caroline J Pak, MS CCC-SLP is a medicare enrolled "Speech-language Pathologist" provider in Woodland Hills, California. Her current practice location is 5601 De Soto Ave, Woodland Hills, California. You can reach out to her office (for appointments etc.) via phone at (818) 719-3990.

Mrs Caroline J Pak is licensed to practice in California (license number SP 13689) 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 1477675114.

Contact Information

	Mrs Caroline J Pak, MS CCC-SLP
	5601 De Soto Ave, Woodland Hills, CA 91367-6701
	(818) 719-3990
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Mrs Caroline J Pak
Gender	Female
Speciality	Speech-language Pathologist
Location	5601 De Soto Ave, Woodland 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: 1477675114
Provider Enumeration Date: 04/04/2007
Last Update Date: 12/02/2021

Medicare PECOS Information:

PECOS PAC ID: 6406044650
Enrollment ID: I20110103000849

Medical Identifiers

Medical identifiers for Mrs Caroline J Pak such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1477675114	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
235Z00000X	Speech-language Pathologist	SP 13689 (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. Mrs Caroline J Pak allows following entities to bill medicare on her behalf.

Provider Name	Southern California Permanente Medical Group
Provider Type	Part B Supplier - Clinic/group Practice
Provider Identifiers	NPI Number: 1770515280 PECOS PAC ID: 6002729175 Enrollment ID: O20031110000678

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 Caroline J Pak 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 Caroline J Pak, MS CCC-SLP 21901 Burbank Blvd Unit 192, Woodland Hills, CA 91367-6432 Ph: (818) 577-8062	Mrs Caroline J Pak, MS CCC-SLP 5601 De Soto Ave, Woodland Hills, CA 91367-6701 Ph: (818) 719-3990

Reviews and Comments

Speech-Language Pathologist in Woodland Hills, CA

Arielle Swisa, Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 20520 Wells Dr, Woodland Hills, CA 91364 Phone: 818-593-9793
Michelle Moskowitz, M.S. Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 6340 Variel Ave, Suite A, Woodland Hills, CA 91367 Phone: 818-888-4559
Monumental Educational And Therapetic Services Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 6300 Variel Ave Apt 414, Woodland Hills, CA 91367 Phone: 202-702-1882
Mr. Hari Prasad Vasista Kotakonda, Speech-Language Pathologist Medicare: Medicare Enrolled Practice Location: 5807 Topanga Canyon Blvd Apt D105, Woodland Hills, CA 91367 Phone: 408-476-2990
Kristen Alicia Dueck, Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 6320 Canoga Ave Fl 15, Woodland Hills, CA 91367 Phone: 877-757-8353
Mrs. Lisa Sanders Harwin, M.A. SPL DISORDERS Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 23241 Ventura Blvd Ste 207, Woodland Hills, CA 91364 Phone: 818-224-2025 Fax: 818-224-4306
Nicole Oberman, Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 20720 Ventura Blvd Ste 260, Woodland Hills, CA 91364 Phone: 818-708-7704

Mrs Caroline J Pak, MS CCC-SLP - Medicare Speech-Language Pathologist in Woodland Hills, CA