Shavonne Mariscal, in Palm Bay, FL - Medicare Speech-Language Pathologist Provider

Shavonne Mariscal, is a medicare enrolled "Speech-language Pathologist" provider in Palm Bay, Florida. Her current practice location is 4680 Lipscomb St Ne Ste 4, Palm Bay, Florida. You can reach out to her office (for appointments etc.) via phone at (321) 209-0171.

Shavonne Mariscal is licensed to practice in Florida (license number SA11135) 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 1174161681.

Contact Information

	Shavonne Mariscal,
	4680 Lipscomb St Ne Ste 4, Palm Bay, FL 32905-2984
	(321) 209-0171
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Shavonne Mariscal
Gender	Female
Speciality	Speech-language Pathologist
Location	4680 Lipscomb St Ne Ste 4, Palm Bay, Florida
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1174161681
Provider Enumeration Date: 12/16/2019
Last Update Date: 07/07/2022

Medicare PECOS Information:

PECOS PAC ID: 2466830963
Enrollment ID: I20220610001983

Medical Identifiers

Medical identifiers for Shavonne Mariscal such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1174161681	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
235Z00000X	Speech-language Pathologist	SA11135 (Florida)	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. Shavonne Mariscal allows following entities to bill medicare on her behalf.

Provider Name	Proclaim Rehabilitation Services Llc
Provider Type	Part B Supplier - Clinic/group Practice
Provider Identifiers	NPI Number: 1952069882 PECOS PAC ID: 1557749058 Enrollment ID: O20220610001774

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. Shavonne Mariscal 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
Shavonne Mariscal, 405 Guinevere Dr, Palm Bay, FL 32908-6431 Ph: () -	Shavonne Mariscal, 4680 Lipscomb St Ne Ste 4, Palm Bay, FL 32905-2984 Ph: (321) 209-0171

Reviews and Comments

Speech-Language Pathologist in Palm Bay, FL

Kristen Melissa Chavez-cantres, M.S. CCC-SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 1634 Saladino St Se, Palm Bay, FL 32909 Phone: 321-684-5439
Mrs. Shelly Janelee Rhiness-o'gara, MS/CCC-SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 956 Black Coral Ave Nw, Palm Bay, FL 32907 Phone: 270-313-6500
Ms. Eunice J Saunders, M.S.,CCC/SLP Speech-Language Pathologist Medicare: Medicare Enrolled Practice Location: 731 Geranium Ave Sw, Palm Bay, FL 32908 Phone: 321-684-9272
Erin Eileen Smith, MA-CCC-SLP Speech-Language Pathologist Medicare: Medicare Enrolled Practice Location: 1389 Torgerson Rd Se, Palm Bay, FL 32909 Phone: 407-637-9633
Kelly Jean-good White, M.S., CCC-SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 1634 Saladino St Se, Palm Bay, FL 32909 Phone: 833-684-5439 Fax: 286-302-0321
Jennifer Michele Belen, CCC-SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 911 Remington Green Dr Se, Palm Bay, FL 32909 Phone: 862-202-1408
Denise Troilo- Waite, MS, CCC-SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 1134 Topliff Cir Ne, Palm Bay, FL 32907 Phone: 321-501-0158

Shavonne Mariscal, - Medicare Speech-Language Pathologist in Palm Bay, FL