Mrs Nikisha Nicole Clementin, MED CCC-SLP in Palm Bay, FL - Medicare Speech-Language Pathologist Provider

Mrs Nikisha Nicole Clementin, MED CCC-SLP is a medicare enrolled "Speech-language Pathologist" provider in Palm Bay, Florida. Her current practice location is 545 Kylar Dr Nw, Palm Bay, Florida. You can reach out to her office (for appointments etc.) via phone at (832) 315-7454.

Mrs Nikisha Nicole Clementin is licensed to practice in Florida (license number SA14801) 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 1861662157.

Contact Information

	Mrs Nikisha Nicole Clementin, MED CCC-SLP
	545 Kylar Dr Nw, Palm Bay, FL 32907-6806
	(832) 315-7454
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Mrs Nikisha Nicole Clementin
Gender	Female
Speciality	Speech-language Pathologist
Location	545 Kylar Dr Nw, Palm Bay, Florida
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1861662157
Provider Enumeration Date: 03/03/2008
Last Update Date: 05/13/2024

Medicare PECOS Information:

PECOS PAC ID: 1557804911
Enrollment ID: I20240613004293

Medical Identifiers

Medical identifiers for Mrs Nikisha Nicole Clementin such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1861662157	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
235Z00000X	Speech-language Pathologist	103010 (Texas)	Secondary
235Z00000X	Speech-language Pathologist	SA14801 (Florida)	Primary
235Z00000X	Speech-language Pathologist	(* (Not Available))	Secondary

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 Nikisha Nicole Clementin allows following entities to bill medicare on her behalf.

Provider Name	Maddox Services Llc
Provider Type	Part B Supplier - Clinic/group Practice
Provider Identifiers	NPI Number: 1053161208 PECOS PAC ID: 6608318928 Enrollment ID: O20240603000316

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 Nikisha Nicole Clementin 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 Nikisha Nicole Clementin, MED CCC-SLP 545 Kylar Dr Nw, Palm Bay, FL 32907-6806 Ph: (832) 315-7454	Mrs Nikisha Nicole Clementin, MED CCC-SLP 545 Kylar Dr Nw, Palm Bay, FL 32907-6806 Ph: (832) 315-7454

Reviews and Comments

Speech-Language Pathologist in Palm Bay, FL

Kristen Melissa Chavez-cantres, M.S. CCC-SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 1634 Saladino St Se, Palm Bay, FL 32909 Phone: 321-684-5439
Mrs. Shelly Janelee Rhiness-o'gara, MS/CCC-SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 956 Black Coral Ave Nw, Palm Bay, FL 32907 Phone: 270-313-6500
Ms. Eunice J Saunders, M.S.,CCC/SLP Speech-Language Pathologist Medicare: Medicare Enrolled Practice Location: 731 Geranium Ave Sw, Palm Bay, FL 32908 Phone: 321-684-9272
Erin Eileen Smith, MA-CCC-SLP Speech-Language Pathologist Medicare: Medicare Enrolled Practice Location: 1389 Torgerson Rd Se, Palm Bay, FL 32909 Phone: 407-637-9633
Kelly Jean-good White, M.S., CCC-SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 1634 Saladino St Se, Palm Bay, FL 32909 Phone: 833-684-5439 Fax: 286-302-0321
Jennifer Michele Belen, CCC-SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 911 Remington Green Dr Se, Palm Bay, FL 32909 Phone: 862-202-1408
Denise Troilo- Waite, MS, CCC-SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 1134 Topliff Cir Ne, Palm Bay, FL 32907 Phone: 321-501-0158

Mrs Nikisha Nicole Clementin, MED CCC-SLP - Medicare Speech-Language Pathologist in Palm Bay, FL