Mrs Khalilah Mignon Marques, SLP in Jacksonville, FL - Medicare Speech-Language Pathologist Provider

Mrs Khalilah Mignon Marques, SLP is a medicare enrolled "Speech-language Pathologist" provider in Jacksonville, Florida. Her current practice location is 9957 Moorings Dr Ste 301, Jacksonville, Florida. You can reach out to her office (for appointments etc.) via phone at (904) 652-6165.

Mrs Khalilah Mignon Marques is licensed to practice in Florida (license number SA11658) 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 1932478153.

Contact Information

	Mrs Khalilah Mignon Marques, SLP
	9957 Moorings Dr Ste 301, Jacksonville, FL 32257-2415
	(904) 652-6165
	(833) 241-4607

Map and Direction

Healthcare Provider's Profile

Full Name	Mrs Khalilah Mignon Marques
Gender	Female
Speciality	Speech-language Pathologist
Location	9957 Moorings Dr Ste 301, Jacksonville, Florida
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1932478153
Provider Enumeration Date: 12/16/2011
Last Update Date: 06/18/2022

Medicare PECOS Information:

PECOS PAC ID: 4082981873
Enrollment ID: I20170619002889

Medical Identifiers

Medical identifiers for Mrs Khalilah Mignon Marques such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1932478153	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
235Z00000X	Speech-language Pathologist	18647 (California)	Secondary
235Z00000X	Speech-language Pathologist	SLP011016 (Georgia)	Secondary
235Z00000X	Speech-language Pathologist	SA11658 (Florida)	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 Khalilah Mignon Marques allows following entities to bill medicare on her behalf.

Provider Name	Fresh Start Speech Therapy Services Llc
Provider Type	Part B Supplier - Clinic/group Practice
Provider Identifiers	NPI Number: 1528591302 PECOS PAC ID: 3173890969 Enrollment ID: O20170526001315

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 Khalilah Mignon Marques 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 Khalilah Mignon Marques, SLP 9957 Moorings Dr Ste 301, Jacksonville, FL 32257-2415 Ph: (904) 652-6165	Mrs Khalilah Mignon Marques, SLP 9957 Moorings Dr Ste 301, Jacksonville, FL 32257-2415 Ph: (904) 652-6165

Reviews and Comments

Speech-Language Pathologist in Jacksonville, FL

Erin M Scholz, MS CCC-SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 800 Prudential Dr, Jacksonville, FL 32207 Phone: 904-202-2000
Terri Turner Tomlinson, MSC CC-SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 800 Prudential Dr, Jacksonville, FL 32207 Phone: 904-202-2000
Mrs. Laurie Hall, SLP-CCC Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 1707 Heatherwood Dr, Jacksonville, FL 32259 Phone: 904-287-3852
Mrs. Amy H Treon, Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 5760 Timuquana Rd, Jacksonville, FL 32210 Phone: 904-701-7227
Mary M. Reed, M.A. Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 10350 Big Tree Ln, Jacksonville, FL 32257 Phone: 904-260-0979
Amy Inman, Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 3915 Grandy Ave, Jacksonville, FL 32207 Phone: 904-886-3228 Fax: 904-886-3297
Speech & Hearing Center, Inc. Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 1010 N Davis St Ste 101, Jacksonville, FL 32209 Phone: 904-355-3403 Fax: 904-355-4149

Mrs Khalilah Mignon Marques, SLP - Medicare Speech-Language Pathologist in Jacksonville, FL