Mrs Michelle Anne Hulstrom, CCC-SLP in Lodi, CA - Medicare Speech-Language Pathologist Provider

Mrs Michelle Anne Hulstrom, CCC-SLP is a medicare enrolled "Speech-language Pathologist" provider in Lodi, California. Her current practice location is 2826 Cumbria Way, Lodi, California. You can reach out to her office (for appointments etc.) via phone at (209) 609-5179.

Mrs Michelle Anne Hulstrom is licensed to practice in California (license number 12799) 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 1376849414.

Contact Information

	Mrs Michelle Anne Hulstrom, CCC-SLP
	2826 Cumbria Way, Lodi, CA 95242-9668
	(209) 609-5179
	(209) 263-7006

Map and Direction

Healthcare Provider's Profile

Full Name	Mrs Michelle Anne Hulstrom
Gender	Female
Speciality	Speech-language Pathologist
Location	2826 Cumbria Way, Lodi, California
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1376849414
Provider Enumeration Date: 02/08/2011
Last Update Date: 02/08/2011

Medicare PECOS Information:

PECOS PAC ID: 3173981784
Enrollment ID: I20230614000280

Medical Identifiers

Medical identifiers for Mrs Michelle Anne Hulstrom such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1376849414	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
235Z00000X	Speech-language Pathologist	12799 (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 Michelle Anne Hulstrom allows following entities to bill medicare on her behalf.

Provider Name	Orthopaedic And Neurological Rehab Inc
Provider Type	Part B Supplier - Physical/occupational Therapy Group In Private Practice
Provider Identifiers	NPI Number: 1225496540 PECOS PAC ID: 6507159126 Enrollment ID: O20160720000431

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 Michelle Anne Hulstrom 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 Michelle Anne Hulstrom, CCC-SLP 2826 Cumbria Way, Lodi, CA 95242-9668 Ph: (209) 609-5179	Mrs Michelle Anne Hulstrom, CCC-SLP 2826 Cumbria Way, Lodi, CA 95242-9668 Ph: (209) 609-5179

Reviews and Comments

Speech-Language Pathologist in Lodi, CA

Mrs. Tamara Leah Lang, MA Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 800 S Ham Ln, Lodi, CA 95242 Phone: 209-368-7141
Colleen Adair Selling, SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 1209 W Tokay St, Ste.8, Lodi, CA 95240 Phone: 209-367-8547
Brandee Lyn Smith, MS CCC SLP Speech-Language Pathologist Medicare: Medicare Enrolled Practice Location: 1547 Lexington Dr, Lodi, CA 95242 Phone: 209-663-7238
Carol Kooyman, Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 831 So. Lee Ave., Lodi, CA 95240 Phone: 209-747-4304
Ariel Rene Correa, MS, CCC-SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 1812 W Kettleman Ln Ste 2c, Lodi, CA 95242 Phone: 209-470-2981
Mrs. Sara Marie Peterson, SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 1209 W Tokay St, Suite 8, Lodi, CA 95240 Phone: 209-334-0830
Mackenzie Shiba, M.S. CCC-SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 1812 W Kettleman Ln, Lodi, CA 95242 Phone: 209-242-4606

Mrs Michelle Anne Hulstrom, CCC-SLP - Medicare Speech-Language Pathologist in Lodi, CA