Mrs Mary Theresa Manzano, MS CCC-SLP in Woodland Park, CO - Medicare Speech-Language Pathologist Provider

Mrs Mary Theresa Manzano, MS CCC-SLP is a medicare enrolled "Speech-language Pathologist" provider in Woodland Park, Colorado. Her current practice location is 1604 Columbine Village Dr, Woodland Park, Colorado. You can reach out to her office (for appointments etc.) via phone at (737) 787-7367.

Mrs Mary Theresa Manzano is licensed to practice in California (license number 13710) 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 1750436010.

Contact Information

	Mrs Mary Theresa Manzano, MS CCC-SLP
	1604 Columbine Village Dr, Woodland Park, CO 80863-8339
	(737) 787-7367
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Mrs Mary Theresa Manzano
Gender	Female
Speciality	Speech-language Pathologist
Location	1604 Columbine Village Dr, Woodland Park, Colorado
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1750436010
Provider Enumeration Date: 01/24/2007
Last Update Date: 10/03/2023

Medicare PECOS Information:

PECOS PAC ID: 6901087543
Enrollment ID: I20240611003893

Medical Identifiers

Medical identifiers for Mrs Mary Theresa Manzano such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1750436010	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
235Z00000X	Speech-language Pathologist	016183 (Oregon)	Secondary
235Z00000X	Speech-language Pathologist	LL61410586 (Washington)	Secondary
235Z00000X	Speech-language Pathologist	5589 (Colorado)	Secondary
235Z00000X	Speech-language Pathologist	SLP4815 (Arizona)	Secondary
235Z00000X	Speech-language Pathologist	13710 (California)	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 Mary Theresa Manzano allows following entities to bill medicare on her behalf.

Provider Name	Empowerme Rehabilitation Colorado, Llc
Provider Type	Part B Supplier - Clinic/group Practice
Provider Identifiers	NPI Number: 1063176493 PECOS PAC ID: 0446641179 Enrollment ID: O20220106001466

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 Mary Theresa Manzano 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 Mary Theresa Manzano, MS CCC-SLP Po Box 242, Lakeside, OR 97449-0242 Ph: (928) 243-3245	Mrs Mary Theresa Manzano, MS CCC-SLP 1604 Columbine Village Dr, Woodland Park, CO 80863-8339 Ph: (737) 787-7367

Reviews and Comments

Speech-Language Pathologist in Woodland Park, CO

Anna Hayes, Speech Therapist Inc Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 487 Potlatch Trl, Woodland Park, CO 80863 Phone: 719-337-0924 Fax: 855-206-2879
Kandi Coyle, Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 155 Panther Way, Woodland Park, CO 80863 Phone: 719-686-2000
Kingdom Pediatric Therapy Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 1067 E Us Hwy, Pmb 72, Woodland Park, CO 80863 Phone: 970-214-8113
Julie Jabaay, M.A., CCC-SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 1151 Kings Crown Rd, Woodland Park, CO 80863 Phone: 719-310-3361
Brenda Irene Ongley, CCC - SLP Speech-Language Pathologist Medicare: Medicare Enrolled Practice Location: 217 Pennsylvania Ave, Woodland Park, CO 80863 Phone: 719-687-9335
Kassandra F Kleymann, CCC-SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 155 Panther Way, Woodland Park, CO 80863 Phone: 785-650-9738
Holly Christine Johnson, Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 155 Panther Way, Woodland Park, CO 80863 Phone: 719-686-2000

Mrs Mary Theresa Manzano, MS CCC-SLP - Medicare Speech-Language Pathologist in Woodland Park, CO