Reagan Roelli, CF-SLP is a medicare enrolled "Speech-language Pathologist" provider in Darlington, Wisconsin. Her current practice location is
133 Performance Dr, Darlington, Wisconsin. You can reach out to her office (for appointments etc.) via phone at
(608) 776-4413.
Reagan Roelli is licensed to practice in Wisconsin (license number 6608-154) 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 1043052236.
Healthcare Provider's Profile
| Full Name | Reagan Roelli |
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| Gender | Female |
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| Speciality | Speech-language Pathologist |
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| Location | 133 Performance Dr, Darlington, Wisconsin |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
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NPI Data:
- NPI Number: 1043052236
- Provider Enumeration Date: 06/10/2024
- Last Update Date: 06/10/2024
Medicare PECOS Information:
- PECOS PAC ID: 4880138544
- Enrollment ID: I20240705000833
Medical Identifiers
Medical identifiers for Reagan Roelli such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1043052236 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 235Z00000X | Speech-language Pathologist | 6608-154 (Wisconsin) | 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. Reagan Roelli allows following entities to bill medicare on her behalf.
| Provider Name | Southwest Health Center Inc |
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| Provider Type | Part B Supplier - Clinic/group Practice |
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| Provider Identifiers | NPI Number: 1831279793
PECOS PAC ID: 3072427772
Enrollment ID: O20031117000839 |
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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. Reagan Roelli 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 |
|---|
Reagan Roelli, CF-SLP
1400 Eastside Rd,
Platteville, WI 53818-9800
Ph: (608) 348-2331 | Reagan Roelli, CF-SLP
133 Performance Dr,
Darlington, WI 53530-9393
Ph: (608) 776-4413 |
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