Mrs Jody Kosanke, MA, CCC-SLP is a medicare enrolled "Speech-language Pathologist" provider in Cheboygan, Michigan. Her current practice location is
217 S Huron St, Cheboygan, Michigan. You can reach out to her office (for appointments etc.) via phone at
(231) 445-2574.
Mrs Jody Kosanke is licensed to practice in Michigan (license number 7101003225) 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 1821682329.
Healthcare Provider's Profile
Full Name | Mrs Jody Kosanke |
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Gender | Female |
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Speciality | Speech-language Pathologist |
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Location | 217 S Huron St, Cheboygan, Michigan |
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Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1821682329
- Provider Enumeration Date: 02/24/2021
- Last Update Date: 02/24/2021
Medicare PECOS Information:
- PECOS PAC ID: 2264821248
- Enrollment ID: I20211112000688
Medical Identifiers
Medical identifiers for Mrs Jody Kosanke such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1821682329 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
235Z00000X | Speech-language Pathologist | 7101003225 (Michigan) | 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 Jody Kosanke allows following entities to bill medicare on her behalf.
Provider Name | Forward Path Counseling |
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Provider Type | Part B Supplier - Clinic/group Practice |
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Provider Identifiers | NPI Number: 1962941856 PECOS PAC ID: 0648538355 Enrollment ID: O20171228002524 |
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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 Jody Kosanke 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 Jody Kosanke, MA, CCC-SLP 630 Bayview Dr, Cheboygan, MI 49721-2230 Ph: (231) 445-2574 | Mrs Jody Kosanke, MA, CCC-SLP 217 S Huron St, Cheboygan, MI 49721-1915 Ph: (231) 445-2574 |
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