Ms Susan Mary Ann Ultsch, MS,CCC-SLP in San Rafael, CA - Medicare Speech-Language Pathologist Provider

Ms Susan Mary Ann Ultsch, MS,CCC-SLP is a medicare enrolled "Speech-language Pathologist" provider in San Rafael, California. Her current practice location is 30 N San Pedro Rd, Suite 265, San Rafael, California. You can reach out to her office (for appointments etc.) via phone at (415) 479-7880.

Ms Susan Mary Ann Ultsch is licensed to practice in California (license number 6933) 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 1215050505.

Contact Information

	Ms Susan Mary Ann Ultsch, MS,CCC-SLP
	30 N San Pedro Rd, Suite 265, San Rafael, CA 94903-4118
	(415) 479-7880
	(415) 479-7889

Map and Direction

Healthcare Provider's Profile

Full Name	Ms Susan Mary Ann Ultsch
Gender	Female
Speciality	Speech-language Pathologist
Location	30 N San Pedro Rd, San Rafael, California
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1215050505
Provider Enumeration Date: 04/09/2007
Last Update Date: 07/08/2007

Medicare PECOS Information:

PECOS PAC ID: 5395009625
Enrollment ID: I20180514000946

Medical Identifiers

Medical identifiers for Ms Susan Mary Ann Ultsch such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1215050505	NPI	-	NPPES
6933	Other	CA	SPEECH PATHOLOGY LICENSE

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
235Z00000X	Speech-language Pathologist	6933 (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 Susan Mary Ann Ultsch allows following entities to bill medicare on her behalf.

Provider Name	Sand Coast Rehab Physical Therapy Inc
Provider Type	Part B Supplier - Physical/occupational Therapy Group In Private Practice
Provider Identifiers	NPI Number: 1639766603 PECOS PAC ID: 7315352911 Enrollment ID: O20210211003128

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 Susan Mary Ann Ultsch 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 Susan Mary Ann Ultsch, MS,CCC-SLP 403 Shoreline Hwy, Mill Valley, CA 94941-3762 Ph: (415) 383-0121	Ms Susan Mary Ann Ultsch, MS,CCC-SLP 30 N San Pedro Rd, Suite 265, San Rafael, CA 94903-4118 Ph: (415) 479-7880

Reviews and Comments

Speech-Language Pathologist in San Rafael, CA

Mrs. Jennifer Kate Moore, CCC SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 99 Montecillo Rd, San Rafael, CA 94903 Phone: 415-889-3833
Erica De Guzman, M.S. CCC-SLP Speech-Language Pathologist Medicare: Medicare Enrolled Practice Location: 1600 Los Gamos Dr, San Rafael, CA 94903 Phone: 415-444-4013
Kathleen O'hara Hemlock, CCC-SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 122 Paul Dr, Suite A, San Rafael, CA 94903 Phone: 415-577-4210
Hannah Mcneill, CCC-SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 317 D St, San Rafael, CA 94901 Phone: 415-377-6533
Bianca Lana Havel, Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 232 Santa Margarita, San Rafael, CA 94901 Phone: 415-454-6340
Elizabeth Seagrave, M.S. CCC-SLP Speech-Language Pathologist Medicare: Medicare Enrolled Practice Location: 2400 Las Gallinas Ave, Ste 135a, San Rafael, CA 94903 Phone: 415-326-3315 Fax: 855-975-3010
Christina Marie Hawkins, Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 165 N Redwood Dr Ste 200, San Rafael, CA 94903 Phone: 415-479-7880

Ms Susan Mary Ann Ultsch, MS,CCC-SLP - Medicare Speech-Language Pathologist in San Rafael, CA