Mrs Jan Harris Lundgren, CCC-SLP in Elizabethtown, NC - Medicare Speech-Language Pathologist Provider

Mrs Jan Harris Lundgren, CCC-SLP is a medicare enrolled "Speech-language Pathologist" provider in Elizabethtown, North Carolina. Her current practice location is 208 Mercer Mill Rd, Elizabethtown, North Carolina. You can reach out to her office (for appointments etc.) via phone at (910) 862-6400.

Mrs Jan Harris Lundgren is licensed to practice in North Carolina (license number 7674) 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 1467785253.

Contact Information

	Mrs Jan Harris Lundgren, CCC-SLP
	208 Mercer Mill Rd, Elizabethtown, NC 28337
	(910) 862-6400
	(910) 247-2413

Map and Direction

Healthcare Provider's Profile

Full Name	Mrs Jan Harris Lundgren
Gender	Female
Speciality	Speech-language Pathologist
Location	208 Mercer Mill Rd, Elizabethtown, North Carolina
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1467785253
Provider Enumeration Date: 09/10/2009
Last Update Date: 08/17/2018

Medicare PECOS Information:

PECOS PAC ID: 2365795002
Enrollment ID: I20181029000084

Medical Identifiers

Medical identifiers for Mrs Jan Harris Lundgren such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1467785253	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
235Z00000X	Speech-language Pathologist	7674 (North Carolina)	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 Jan Harris Lundgren allows following entities to bill medicare on her behalf.

Provider Name	Dysphagia Management Systems, Llc
Provider Type	Part B Supplier - Clinic/group Practice
Provider Identifiers	NPI Number: 1194196592 PECOS PAC ID: 4385920040 Enrollment ID: O20181029000052

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 Jan Harris Lundgren 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 Jan Harris Lundgren, CCC-SLP 6509 Wynbrook Way, Raleigh, NC 27612-2370 Ph: (941) 928-3766	Mrs Jan Harris Lundgren, CCC-SLP 208 Mercer Mill Rd, Elizabethtown, NC 28337 Ph: (910) 862-6400

Reviews and Comments

Speech-Language Pathologist in Elizabethtown, NC

Evelyn Rene Delieto, MA, CCC-SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 208 Mercer Road, Elizabethtown, NC 28337 Phone: 910-862-8181
Adria Troy, Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 208 Mercer Rd, Elizabethtown, NC 28337 Phone: 910-862-6400
Megan Atkinson, MS, CCC-SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 704 W Broad St, Elizabethtown, NC 28337 Phone: 910-991-3053
Megan A Bennett, Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 704 W Broad St, Elizabethtown, NC 28337 Phone: 910-991-3053

Mrs Jan Harris Lundgren, CCC-SLP - Medicare Speech-Language Pathologist in Elizabethtown, NC