Mrs Portia L Fountain, MS CCC-SLP in Oxford, MS - Medicare Speech-Language Pathologist Provider

Mrs Portia L Fountain, MS CCC-SLP is a medicare enrolled "Speech-language Pathologist" provider in Oxford, Mississippi. Her current practice location is 12007 Water Ridge Dr, Oxford, Mississippi. You can reach out to her office (for appointments etc.) via phone at (662) 801-8064.

Mrs Portia L Fountain is licensed to practice in Mississippi (license number S2883) 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 1578074845.

Contact Information

	Mrs Portia L Fountain, MS CCC-SLP
	12007 Water Ridge Dr, Oxford, MS 38655-6015
	(662) 801-8064
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Mrs Portia L Fountain
Gender	Female
Speciality	Speech-language Pathologist
Location	12007 Water Ridge Dr, Oxford, Mississippi
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1578074845
Provider Enumeration Date: 10/13/2017
Last Update Date: 10/13/2017

Medicare PECOS Information:

PECOS PAC ID: 7618409624
Enrollment ID: I20241016000227

Medical Identifiers

Medical identifiers for Mrs Portia L Fountain such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1578074845	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
235Z00000X	Speech-language Pathologist	S2883 (Mississippi)	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 Portia L Fountain allows following entities to bill medicare on her behalf.

Provider Name	Safe At Home Llc
Provider Type	Part B Supplier - Clinic/group Practice
Provider Identifiers	NPI Number: 1477171593 PECOS PAC ID: 8820408099 Enrollment ID: O20201029003014

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 Portia L Fountain 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 Portia L Fountain, MS CCC-SLP 12007 Water Ridge Dr, Oxford, MS 38655-6015 Ph: (662) 801-8064	Mrs Portia L Fountain, MS CCC-SLP 12007 Water Ridge Dr, Oxford, MS 38655-6015 Ph: (662) 801-8064

Reviews and Comments

Speech-Language Pathologist in Oxford, MS

Lauren F Cotten, SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 2653 W Oxford Loop, Oxford, MS 38655 Phone: 662-715-3045 Fax: 662-715-3046
Dorothy Stuart, Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 503 Maple Cv, Oxford, MS 38655 Phone: 601-748-0622
Elizabeth Williams Seibert, SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 2653 West Oxford Loop, Oxford, MS 38655 Phone: 662-715-3045 Fax: 662-715-3046
Emily Wilson, Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 120 Veterans Dr, Oxford, MS 38655 Phone: 662-259-5516
Amanda Tosh, ST Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 2205 Jefferson Davis Dr, Oxford, MS 38655 Phone: 662-238-2800 Fax: 662-238-2808
Lori A Davis, MS,CCC-SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 169 Highway 6 E Ste 102, Oxford, MS 38655 Phone: 662-380-5030 Fax: 662-297-7598
Rachel Bright, MS, CCC-SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 967 Regional Center Dr, Oxford, MS 38655 Phone: 662-513-7750 Fax: 662-234-1699

Mrs Portia L Fountain, MS CCC-SLP - Medicare Speech-Language Pathologist in Oxford, MS