Shannon Marie Mulder, MS-CCC-SLP in Grand Haven, MI - Medicare Speech-Language Pathologist Provider

Shannon Marie Mulder, MS-CCC-SLP is a medicare enrolled "Speech-language Pathologist" provider in Grand Haven, Michigan. Her current practice location is 13476 Hidden Creek Ct, Grand Haven, Michigan. You can reach out to her office (for appointments etc.) via phone at (616) 402-2187.

Shannon Marie Mulder is licensed to practice in Missouri (license number 2023041204) 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 1265213508.

Contact Information

	Shannon Marie Mulder, MS-CCC-SLP
	13476 Hidden Creek Ct, Grand Haven, MI 49417-8935
	(616) 402-2187
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Shannon Marie Mulder
Gender	Female
Speciality	Speech-language Pathologist
Location	13476 Hidden Creek Ct, Grand Haven, Michigan
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1265213508
Provider Enumeration Date: 10/12/2023
Last Update Date: 10/12/2023

Medicare PECOS Information:

PECOS PAC ID: 3678926391
Enrollment ID: I20240130001368

Medical Identifiers

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

Identifier	Type	State	Issuer
1265213508	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
235Z00000X	Speech-language Pathologist	2023041204 (Missouri)	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 Marie Mulder allows following entities to bill medicare on her behalf.

Provider Name	Speech And Voice Solutions Llc
Provider Type	Part B Supplier - Clinic/group Practice
Provider Identifiers	NPI Number: 1336419696 PECOS PAC ID: 7911157052 Enrollment ID: O20121025000396

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 Marie Mulder 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 Marie Mulder, MS-CCC-SLP 13476 Hidden Creek Ct, Grand Haven, MI 49417-8935 Ph: (616) 402-2187	Shannon Marie Mulder, MS-CCC-SLP 13476 Hidden Creek Ct, Grand Haven, MI 49417-8935 Ph: (616) 402-2187

Reviews and Comments

Speech-Language Pathologist in Grand Haven, MI

Ms. Chelsea Miller, MS, CCC-SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 16760 Lincoln St, Grand Haven, MI 49417 Phone: 616-935-3300
Lauren Burkhardt, MA Speech-Language Pathologist Medicare: Medicare Enrolled Practice Location: 16930 Robbins Rd, Grand Haven, MI 49417 Phone: 616-935-7606
Grand Haven Speech Partners, Llc Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 101 Washington Ave # 7, Grand Haven, MI 49417 Phone: 616-414-0891
Kimberly Schoeck, M.A., CCC-SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 101 Washington Ave, #7, Grand Haven, MI 49417 Phone: 616-414-0891
Mallory Alexis Cronk, Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 16760 Lincoln St, Grand Haven, MI 49417 Phone: 616-935-3300
Brittany Leigh Dykstra, SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 15100 Whittaker Way, Grand Haven, MI 49417 Phone: 616-935-6280

Shannon Marie Mulder, MS-CCC-SLP - Medicare Speech-Language Pathologist in Grand Haven, MI