Ms Stephanie Adeline L Larchuleta Smith, MS, CCC-SLP in Union City, CA - Medicare Speech-Language Pathologist Provider

Ms Stephanie Adeline L Larchuleta Smith, MS, CCC-SLP is a medicare enrolled "Speech-language Pathologist" provider in Union City, California. Her current practice location is 3553 Whipple Rd Bldg B, Union City, California. You can reach out to her office (for appointments etc.) via phone at (510) 454-1000.

Ms Stephanie Adeline L Larchuleta Smith is licensed to practice in California (license number 8657) 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 1538225081.

Contact Information

	Ms Stephanie Adeline L Larchuleta Smith, MS, CCC-SLP
	3553 Whipple Rd Bldg B, Union City, CA 94587-1507
	(510) 454-1000
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Ms Stephanie Adeline L Larchuleta Smith
Gender	Female
Speciality	Speech-language Pathologist
Location	3553 Whipple Rd Bldg B, Union City, California
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1538225081
Provider Enumeration Date: 12/29/2006
Last Update Date: 02/03/2022

Medicare PECOS Information:

PECOS PAC ID: 2062645831
Enrollment ID: I20140501000383

Medical Identifiers

Medical identifiers for Ms Stephanie Adeline L Larchuleta Smith such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1538225081	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
235Z00000X	Speech-language Pathologist	8657 (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. Ms Stephanie Adeline L Larchuleta Smith allows following entities to bill medicare on her behalf.

Provider Name	Permanente Medical Group Inc
Provider Type	Part B Supplier - Clinic/group Practice
Provider Identifiers	NPI Number: 1073606299 PECOS PAC ID: 8921910225 Enrollment ID: O20031104000710

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 Stephanie Adeline L Larchuleta Smith 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 Stephanie Adeline L Larchuleta Smith, MS, CCC-SLP 3553 Whipple Rd Bldg B, Union City, CA 94587-1507 Ph: (510) 454-1000	Ms Stephanie Adeline L Larchuleta Smith, MS, CCC-SLP 3553 Whipple Rd Bldg B, Union City, CA 94587-1507 Ph: (510) 454-1000

Reviews and Comments

Speech-Language Pathologist in Union City, CA

Patricia Yee, S.T. Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 3553 Whipple Rd Bldg B, Union City, CA 94587 Phone: 510-675-4241
Social Butterfly Speech Language Pathology Services, Corporation Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 33432 Alvarado Niles Rd, Union City, CA 94587 Phone: 510-501-4044 Fax: 510-345-3023
Cressida Dumalag, Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 30116 Eigenbrodt Way, Union City, CA 94587 Phone: 510-675-4010
Berenice Moreno, Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 29516 Kohoutek Way, Union City, CA 94587 Phone: 510-441-8240
Camille Nuttall, CCC-SLP Speech-Language Pathologist Medicare: Medicare Enrolled Practice Location: 3555 Whipple Rd, Union City, CA 94587 Phone: 510-675-4010
Rabia Shah, Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 34400 Mission Blvd, Union City, CA 94587 Phone: 916-276-2107
Ileanexcis Santini-soto, Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 29516 Kohoutek Way, Union City, CA 94587 Phone: 510-441-8240

Ms Stephanie Adeline L Larchuleta Smith, MS, CCC-SLP - Medicare Speech-Language Pathologist in Union City, CA