Ms Kelly Juanita Fussman, MS, CCC-SLP is a medicare enrolled "Speech-language Pathologist" provider in Joelton, Tennessee. Her current practice location is
1132 Bear Branch Cir, Joelton, Tennessee. You can reach out to her office (for appointments etc.) via phone at
(615) 671-6740.
Ms Kelly Juanita Fussman is licensed to practice in Tennessee (license number 6439) 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 1053957647.
Healthcare Provider's Profile
| Full Name | Ms Kelly Juanita Fussman |
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| Gender | Female |
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| Speciality | Speech-language Pathologist |
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| Location | 1132 Bear Branch Cir, Joelton, Tennessee |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
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NPI Data:
- NPI Number: 1053957647
- Provider Enumeration Date: 11/19/2019
- Last Update Date: 02/04/2025
Medicare PECOS Information:
- PECOS PAC ID: 6204281090
- Enrollment ID: I20231013003017
Medical Identifiers
Medical identifiers for Ms Kelly Juanita Fussman such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1053957647 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 235Z00000X | Speech-language Pathologist | 6439 (Tennessee) | 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. Ms Kelly Juanita Fussman allows following entities to bill medicare on her behalf.
| Provider Name | Onward Neuro Therapy Pllc |
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| Provider Type | Part B Supplier - Clinic/group Practice |
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| Provider Identifiers | NPI Number: 1457131666
PECOS PAC ID: 5395190185
Enrollment ID: O20231013002986 |
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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. Ms Kelly Juanita Fussman 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 |
|---|
Ms Kelly Juanita Fussman, MS, CCC-SLP
1132 Bear Branch Cir,
Joelton, TN 37080-2401
Ph: (615) 671-6740 | Ms Kelly Juanita Fussman, MS, CCC-SLP
1132 Bear Branch Cir,
Joelton, TN 37080-2401
Ph: (615) 671-6740 |
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