Mrs Keely Marie Perkes, MA, CCC-SLP in Logan, UT - Medicare Speech-Language Pathologist Provider

Mrs Keely Marie Perkes, MA, CCC-SLP is a medicare enrolled "Speech-language Pathologist" provider in Logan, Utah. Her current practice location is 6410 Old Main Hl, Logan, Utah. You can reach out to her office (for appointments etc.) via phone at (435) 797-4200.

Mrs Keely Marie Perkes is licensed to practice in Utah (license number 9404283-4102) 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 1356053607.

Contact Information

	Mrs Keely Marie Perkes, MA, CCC-SLP
	6410 Old Main Hl, Logan, UT 84322-6410
	(435) 797-4200
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Mrs Keely Marie Perkes
Gender	Female
Speciality	Speech-language Pathologist
Location	6410 Old Main Hl, Logan, Utah
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1356053607
Provider Enumeration Date: 12/19/2022
Last Update Date: 12/19/2022

Medicare PECOS Information:

PECOS PAC ID: 1355703984
Enrollment ID: I20230815001081

Medical Identifiers

Medical identifiers for Mrs Keely Marie Perkes such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1356053607	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
235Z00000X	Speech-language Pathologist	9404283-4102 (Utah)	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 Keely Marie Perkes allows following entities to bill medicare on her behalf.

Provider Name	Utah State University
Provider Type	Part B Supplier - Clinic/group Practice
Provider Identifiers	NPI Number: 1235374984 PECOS PAC ID: 3476715491 Enrollment ID: O20120508000468

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 Keely Marie Perkes 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 Keely Marie Perkes, MA, CCC-SLP 1308 E 480 S, Hyrum, UT 84319-7116 Ph: (801) 390-2083	Mrs Keely Marie Perkes, MA, CCC-SLP 6410 Old Main Hl, Logan, UT 84322-6410 Ph: (435) 797-4200

Reviews and Comments

Speech-Language Pathologist in Logan, UT

Megan Israelsen, Speech-Language Pathologist Medicare: Medicare Enrolled Practice Location: 356 N 300 W Apt 6, Logan, UT 84321 Phone: 303-829-2796
Ari Watt, Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 1480 N 400 E, Logan, UT 84341 Phone: 435-750-5501
Kathryn S Gantz, SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 1400 N 500 E, Logan, UT 84341 Phone: 435-716-1000
Karlee Larsen Workman, MA, SLP-CCC Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 730 N 200 E, Logan, UT 84321 Phone: 801-367-8049
Leigh Stott, Speech-Language Pathologist Medicare: Medicare Enrolled Practice Location: 1000 Old Main Hl, Logan, UT 84322 Phone: 435-797-1346
Mikenzi Ford, MS, CCC-SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 500 E 1400 N, Logan, UT 84341 Phone: 435-716-1000
Mr. Brian Dean Sater, M.A., CCC-SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 225 N 200 W, Logan, UT 84321 Phone: 435-716-8535

Mrs Keely Marie Perkes, MA, CCC-SLP - Medicare Speech-Language Pathologist in Logan, UT