Shannon Hentrup, in Louisville, KY - Medicare Speech-Language Pathologist Provider

Shannon Hentrup, is a medicare enrolled "Speech-language Pathologist" provider in Louisville, Kentucky. Her current practice location is 303 N Hurstbourne Pkwy Ste 200, Louisville, Kentucky. You can reach out to her office (for appointments etc.) via phone at (502) 412-5847.

Shannon Hentrup is licensed to practice in Indiana (license number 46004164A) 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 1710615919.

Contact Information

	Shannon Hentrup,
	303 N Hurstbourne Pkwy Ste 200, Louisville, KY 40222-5158
	(502) 412-5847
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Shannon Hentrup
Gender	Female
Speciality	Speech-language Pathologist
Location	303 N Hurstbourne Pkwy Ste 200, Louisville, Kentucky
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1710615919
Provider Enumeration Date: 08/15/2022
Last Update Date: 08/15/2022

Medicare PECOS Information:

PECOS PAC ID: 0749625705
Enrollment ID: I20240229001086

Medical Identifiers

Medical identifiers for Shannon Hentrup such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1710615919	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
235Z00000X	Speech-language Pathologist	46004164A (Indiana)	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. Shannon Hentrup allows following entities to bill medicare on her behalf.

Provider Name	Paragon Outpatient Rehabilitation Services, Llc
Provider Type	Part B Supplier - Physical/occupational Therapy Group In Private Practice
Provider Identifiers	NPI Number: 1871867325 PECOS PAC ID: 8022272848 Enrollment ID: O20180926000250

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. Shannon Hentrup 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
Shannon Hentrup, 621 E 20th St, Ferdinand, IN 47532-9220 Ph: (812) 639-7745	Shannon Hentrup, 303 N Hurstbourne Pkwy Ste 200, Louisville, KY 40222-5158 Ph: (502) 412-5847

Reviews and Comments

Speech-Language Pathologist in Louisville, KY

Samantha Hii, Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 2701 Chestnut Station Ct, Louisville, KY 40299 Phone: 800-335-1060
Mrs. Lauren Elizabeth Ewing, Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 2701 Chestnut Station Ct, Paragon Rehabilitation, Louisville, KY 40299 Phone: 800-335-1060
Laura Kaye Hamdani, M.A., CCC-SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 2701 Chestnut Station Ct, Louisville, KY 40299 Phone: 800-335-1060
Amy L Scott, M.S.,CCC-SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 2701 Chestnut Station Ct, Louisville, KY 40299 Phone: 800-335-1060
Stephanie Jill Dyer, CCC-SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 3920 Dutchmans Ln, Louisville, KY 40207 Phone: 502-259-6608
Kymberly Jean Pennington, Speech-Language Pathologist Medicare: Medicare Enrolled Practice Location: 2701 Chestnut Station Ct, Louisville, KY 40299 Phone: 800-335-1060
Joyce M Wooldridge, MS CCC-SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 1410 Long Run Rd, Louisville, KY 40245 Phone: 502-244-8011

Shannon Hentrup, - Medicare Speech-Language Pathologist in Louisville, KY