Nice Speech Lady Llc is a medicare enrolled "Clinic/center - Hearing And Speech" provider in Socorro, New Mexico. Their current practice location is
409 N California St, Socorro, New Mexico. You can reach out to their office (for appointments etc.) via phone at
(505) 907-1902.
Nice Speech Lady Llc is licensed to practice in * (Not Available) (license number ) and it also participates in the medicare program. Nice Speech Lady Llc
is enrolled with medicare and should accept medicare assignments and since they are enrolled in medicare, they may order Medicare Part D Prescription drugs, if eligible. The facility's NPI Number is 1134714348.
Healthcare Provider's Profile
| Full Name | Nice Speech Lady Llc |
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| Type | Facility |
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| Speciality | Clinic/center - Hearing And Speech |
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| Location | 409 N California St, Socorro, New Mexico |
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| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
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NPI Data:
- NPI Number: 1134714348
- Provider Enumeration Date: 03/09/2021
- Last Update Date: 12/05/2023
Medicare PECOS Information:
- PECOS PAC ID: 5092110577
- Enrollment ID: O20210820002489
Medical Identifiers
Medical identifiers for Nice Speech Lady Llc such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1134714348 | NPI | - | NPPES |
| 52071804 | Medicaid | NM | |
| 1184855181 | Medicaid | NC | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 235Z00000X | Speech-language Pathologist | (* (Not Available)) | Secondary |
| 261QH0700X | Clinic/center - Hearing And Speech | (* (Not Available)) | Primary |
Medicare Reassignments
Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works.
Nice Speech Lady Llc acts as a billing entity for following providers:
| Provider Name | Wilson Nice |
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| Provider Type | Practitioner - Qualified Speech Language Pathologist |
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| Provider Identifiers | NPI Number: 1205135753
PECOS PAC ID: 8628473105
Enrollment ID: I20210820002535 |
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| Provider Name | Angela Mcmillan |
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| Provider Type | Practitioner - Qualified Speech Language Pathologist |
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| Provider Identifiers | NPI Number: 1912344698
PECOS PAC ID: 7012381981
Enrollment ID: I20230315001923 |
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| Provider Name | Beverly Overton |
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| Provider Type | Practitioner - Qualified Speech Language Pathologist |
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| Provider Identifiers | NPI Number: 1184855181
PECOS PAC ID: 3870959505
Enrollment ID: I20240329001465 |
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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. Nice Speech Lady Llc 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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Nice Speech Lady Llc
409 N California St,
Socorro, NM 87801-4208
Ph: (505) 907-1902 | Nice Speech Lady Llc
409 N California St,
Socorro, NM 87801-4208
Ph: (505) 907-1902 |
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