Nicole Roubos, in Grandville, MI - Medicare Speech-Language Pathologist Provider

Nicole Roubos, is a medicare enrolled "Speech-language Pathologist" provider in Grandville, Michigan. Her current practice location is 2855 44th St Sw Ste 160, Grandville, Michigan. You can reach out to her office (for appointments etc.) via phone at (616) 379-9887.

Nicole Roubos is licensed to practice in Michigan (license number 2222040101) 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 1336841188.

Contact Information

	Nicole Roubos,
	2855 44th St Sw Ste 160, Grandville, MI 49418-2682
	(616) 379-9887
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Nicole Roubos
Gender	Female
Speciality	Speech-language Pathologist
Location	2855 44th St Sw Ste 160, Grandville, Michigan
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1336841188
Provider Enumeration Date: 03/17/2023
Last Update Date: 03/17/2023

Medicare PECOS Information:

PECOS PAC ID: 2860831328
Enrollment ID: I20240416003738

Medical Identifiers

Medical identifiers for Nicole Roubos such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1336841188	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
235Z00000X	Speech-language Pathologist	2222040101 (Michigan)	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. Nicole Roubos allows following entities to bill medicare on her behalf.

Provider Name	Thrive Pediatric Speech And Feeding Therapy, Llc
Provider Type	Part B Supplier - Clinic/group Practice
Provider Identifiers	NPI Number: 1265074827 PECOS PAC ID: 8325471873 Enrollment ID: O20191213002136

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. Nicole Roubos 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
Nicole Roubos, 11886 Seven Pine Dr, Holland, MI 49424-8673 Ph: (231) 499-1817	Nicole Roubos, 2855 44th St Sw Ste 160, Grandville, MI 49418-2682 Ph: (616) 379-9887

Reviews and Comments

Speech-Language Pathologist in Grandville, MI

Meghan Vandewater, CCC-SLP, C/NDT Speech-Language Pathologist Medicare: Medicare Enrolled Practice Location: 2855 44th St Sw Ste 160, Grandville, MI 49418 Phone: 616-379-9887
Mrs. Kathryn Antor, M.A., CCC-SLP Speech-Language Pathologist Medicare: Accepting Medicare Assignments Practice Location: 3010 Wilson Ave Sw, Grandville, MI 49418 Phone: 616-249-8141 Fax: 616-249-8147
Mackenzie Galbreath, Speech-Language Pathologist Medicare: Medicare Enrolled Practice Location: 2855 44th St Sw Ste 160, Grandville, MI 49418 Phone: 616-379-9887
Ms. Molly Jane Hausbeck, Speech-Language Pathologist Medicare: Medicare Enrolled Practice Location: 3010 Wilson Ave Sw, Grandville, MI 49418 Phone: 616-249-8141
Theresa Eddie, MA, CCC-SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 2880 Wilson Ave Sw, Grandville, MI 49418 Phone: 616-300-5495
Patricia Lawrence-bartel, CCC-SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 3010 Wilson Ave Sw, Grandville, MI 49418 Phone: 616-249-8141

Nicole Roubos, - Medicare Speech-Language Pathologist in Grandville, MI