Mrs Stacy Derenard, MA, CCC-SLP in Garden Grove, CA - Medicare Speech-Language Pathologist Provider

Mrs Stacy Derenard, MA, CCC-SLP is a medicare enrolled "Speech-language Pathologist" provider in Garden Grove, California. Her current practice location is 12060 Valley View St, Suite 137, Garden Grove, California. You can reach out to her office (for appointments etc.) via phone at (714) 901-1518.

Mrs Stacy Derenard is licensed to practice in California (license number SP 14604) 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 1427267608.

Contact Information

	Mrs Stacy Derenard, MA, CCC-SLP
	12060 Valley View St, Suite 137, Garden Grove, CA 92845
	(714) 901-1518
	(714) 901-1359

Map and Direction

Healthcare Provider's Profile

Full Name	Mrs Stacy Derenard
Gender	Female
Speciality	Speech-language Pathologist
Location	12060 Valley View St, Garden Grove, California
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1427267608
Provider Enumeration Date: 05/22/2007
Last Update Date: 03/01/2017

Medicare PECOS Information:

PECOS PAC ID: 9032370044
Enrollment ID: I20120607000480

Medical Identifiers

Medical identifiers for Mrs Stacy Derenard such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1427267608	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
235Z00000X	Speech-language Pathologist	SP 14604 (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 Stacy Derenard allows following entities to bill medicare on her behalf.

Provider Name	Expressions Speech Language Pathology Services Inc
Provider Type	Part B Supplier - Clinic/group Practice
Provider Identifiers	NPI Number: 1689893075 PECOS PAC ID: 0042471054 Enrollment ID: O20120419000200

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 Stacy Derenard 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 Stacy Derenard, MA, CCC-SLP 5241 Berkeley Ave, Apt. B, Westminster, CA 92683-2739 Ph: (714) 901-1518	Mrs Stacy Derenard, MA, CCC-SLP 12060 Valley View St, Suite 137, Garden Grove, CA 92845 Ph: (714) 901-1518

Reviews and Comments

Speech-Language Pathologist in Garden Grove, CA

Miss Carey Denice Lindsay, M.A. CCC-SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 11222 Linda Ln, Unit C, Garden Grove, CA 92840 Phone: 805-636-1237
Ellen M. Horvath, M.A., CCC-SP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 12777 Valley View St Ste 212, Garden Grove, CA 92845 Phone: 714-301-0048 Fax: 714-963-7633
Rupa Mehta, SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 12881 Knott St Ste 103, Garden Grove, CA 92841 Phone: 714-892-6828 Fax: 714-898-9720
Ms. Sharanya Sekhri, SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 12062 Valley View St, Suite 137, Garden Grove, CA 92845 Phone: 714-901-1518
Julie Bart, Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 12881 Knott St, Garden Grove, CA 92841 Phone: 714-892-6828
Bernadette Prince, M.S. CCC-SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 12062 Valley View St Ste 137, Garden Grove, CA 92845 Phone: 714-901-1518 Fax: 714-901-1359
Mrs. Robin E Jones-brown, M.S., CCC Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 12842 Valley View St, Suite 205, Garden Grove, CA 92845 Phone: 714-373-4405 Fax: 714-373-5007

Mrs Stacy Derenard, MA, CCC-SLP - Medicare Speech-Language Pathologist in Garden Grove, CA