Ms Melissa Anderson Puryear, MS CCC-SLP is a medicare enrolled "Speech-language Pathologist" provider in Clover, Virginia. Her current practice location is
4174 Rodgers Chapel Rd, Clover, Virginia. You can reach out to her office (for appointments etc.) via phone at
(434) 579-3312.
Ms Melissa Anderson Puryear is licensed to practice in Virginia (license number 2202006034) 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 1629490578.
Healthcare Provider's Profile
| Full Name | Ms Melissa Anderson Puryear |
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| Gender | Female |
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| Speciality | Speech-language Pathologist |
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| Location | 4174 Rodgers Chapel Rd, Clover, Virginia |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
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NPI Data:
- NPI Number: 1629490578
- Provider Enumeration Date: 01/13/2014
- Last Update Date: 08/28/2018
Medicare PECOS Information:
- PECOS PAC ID: 4587047493
- Enrollment ID: I20220810000817
Medical Identifiers
Medical identifiers for Ms Melissa Anderson Puryear such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1629490578 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 235Z00000X | Speech-language Pathologist | (Virginia) | Secondary |
| 235Z00000X | Speech-language Pathologist | 2202006034 (Virginia) | 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. Ms Melissa Anderson Puryear allows following entities to bill medicare on her behalf.
| Provider Name | Powerback Rehabilitation Llc |
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| Provider Type | Part B Supplier - Clinic/group Practice |
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| Provider Identifiers | NPI Number: 1871241414
PECOS PAC ID: 2365359932
Enrollment ID: O20220622001654 |
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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. Ms Melissa Anderson Puryear 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 |
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Ms Melissa Anderson Puryear, MS CCC-SLP
4174 Rodgers Chapel Rd,
Clover, VA 24534-3208
Ph: (434) 579-3312 | Ms Melissa Anderson Puryear, MS CCC-SLP
4174 Rodgers Chapel Rd,
Clover, VA 24534
Ph: (434) 579-3312 |
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