Ms Stacey Lynn Killeen, MA, CCC-SLP in Dyer, IN - Medicare Speech-Language Pathologist Provider

Ms Stacey Lynn Killeen, MA, CCC-SLP is a medicare enrolled "Speech-language Pathologist" provider in Dyer, Indiana. Her current practice location is 219 Primrose Dr, Dyer, Indiana. You can reach out to her office (for appointments etc.) via phone at (219) 742-1400.

Ms Stacey Lynn Killeen is licensed to practice in Illinois (license number 146.006920) 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 1841360690.

Contact Information

	Ms Stacey Lynn Killeen, MA, CCC-SLP
	219 Primrose Dr, Dyer, IN 46311-4632
	(219) 742-1400
	(219) 809-2674

Map and Direction

Healthcare Provider's Profile

Full Name	Ms Stacey Lynn Killeen
Gender	Female
Speciality	Speech-language Pathologist
Location	219 Primrose Dr, Dyer, Indiana
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1841360690
Provider Enumeration Date: 11/09/2006
Last Update Date: 10/02/2014

Medicare PECOS Information:

PECOS PAC ID: 5991153728
Enrollment ID: I20231204003227

Medical Identifiers

Medical identifiers for Ms Stacey Lynn Killeen such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1841360690	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
235Z00000X	Speech-language Pathologist	146.006920 (Illinois)	Primary
235Z00000X	Speech-language Pathologist	22005278A (Indiana)	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. Ms Stacey Lynn Killeen allows following entities to bill medicare on her behalf.

Provider Name	Phoenix Children's Hospital
Provider Type	Part B Supplier - Clinic/group Practice
Provider Identifiers	NPI Number: 1922112044 PECOS PAC ID: 0446278584 Enrollment ID: O20051107000704

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 Stacey Lynn Killeen 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
Ms Stacey Lynn Killeen, MA, CCC-SLP 219 Primrose Dr, Dyer, IN 46311-4632 Ph: (219) 742-1400	Ms Stacey Lynn Killeen, MA, CCC-SLP 219 Primrose Dr, Dyer, IN 46311-4632 Ph: (219) 742-1400

Reviews and Comments

Speech-Language Pathologist in Dyer, IN

Mrs. Cathy J Puch, MA CCC SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 1501 Joliet Street, Unit B2, Dyer, IN 46311 Phone: 219-322-1415 Fax: 219-322-1414
Alexis Mary Mcmahon, SPEECH PATHOLOGIST Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 440 Edmond Dr, Dyer, IN 46311 Phone: 219-322-1415
Mrs. Kelly Ann Fairris, MA CCC SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 440 Edmond Dr, Dyer, IN 46311 Phone: 219-322-1415
Claire Therese Starcevich, SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 440 Edmond Dr, Dyer, IN 46311 Phone: 219-322-1415 Fax: 219-322-1414
Mrs. Jolynn C Luevano, SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 440 Edmond Dr, Dyer, IN 46311 Phone: 219-322-1415 Fax: 219-322-1414
Karolina S Sroka, SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 440 Edmond Dr, Dyer, IN 46311 Phone: 219-322-1415
Mrs. Stephanie Marie Stuebe, Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 3125 Peschel Ct, Dyer, IN 46311 Phone: 708-439-2148

Ms Stacey Lynn Killeen, MA, CCC-SLP - Medicare Speech-Language Pathologist in Dyer, IN