Shelly Eileen Holida, MA CCC-SLP in Watertown, SD - Medicare Speech-Language Pathologist Provider

Shelly Eileen Holida, MA CCC-SLP is a medicare enrolled "Speech-language Pathologist" provider in Watertown, South Dakota. Her current practice location is 401 9th Ave Nw, Watertown, South Dakota. You can reach out to her office (for appointments etc.) via phone at (605) 254-2820.

Shelly Eileen Holida is licensed to practice in South Dakota (license number 264-SLP) 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 1871136549.

Contact Information

	Shelly Eileen Holida, MA CCC-SLP
	401 9th Ave Nw, Watertown, SD 57201-1599
	(605) 254-2820
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Shelly Eileen Holida
Gender	Female
Speciality	Speech-language Pathologist
Location	401 9th Ave Nw, Watertown, South Dakota
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1871136549
Provider Enumeration Date: 10/24/2019
Last Update Date: 10/24/2019

Medicare PECOS Information:

PECOS PAC ID: 6709268451
Enrollment ID: I20220728001158

Medical Identifiers

Medical identifiers for Shelly Eileen Holida such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1871136549	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
235Z00000X	Speech-language Pathologist	264-SLP (South Dakota)	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. Shelly Eileen Holida allows following entities to bill medicare on her behalf.

Provider Name	Optimal Speech Pathology Llc
Provider Type	Part B Supplier - Clinic/group Practice
Provider Identifiers	NPI Number: 1396483624 PECOS PAC ID: 5890177547 Enrollment ID: O20220728000670

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. Shelly Eileen Holida 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
Shelly Eileen Holida, MA CCC-SLP 2601 Network Blvd Ste 102, Frisco, TX 75034-9092 Ph: (866) 552-3913	Shelly Eileen Holida, MA CCC-SLP 401 9th Ave Nw, Watertown, SD 57201-1599 Ph: (605) 254-2820

Reviews and Comments

Speech-Language Pathologist in Watertown, SD

Mrs. Dalynn Michele Schoenefeld, MACCC-SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 2819 5th Ave Nw, Watertown, SD 57201 Phone: 605-880-3581
Mrs. Kirsten Elizabeth Titze Blackwell, M.S., CCC-SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 401 9th Ave Nw, Watertown, SD 57201 Phone: 605-882-7700 Fax: 605-882-7990
Mrs. Andrea Michelle Vosberg, MA, CCC-SLP Speech-Language Pathologist Medicare: Accepting Medicare Assignments Practice Location: 215 S Maple, Watertown, SD 57201 Phone: 605-886-5777 Fax: 605-886-0790
Ainsley Monize, Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 200 9th St Ne, Watertown, SD 57201 Phone: 605-882-6316 Fax: 605-882-6327
Kristi Stevenson, Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 1100 13th St Ne, Watertown, SD 57201 Phone: 605-882-6340 Fax: 605-882-6365
Emily Frederick, Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 1701 N Maple, Watertown, SD 57201 Phone: 605-882-6390 Fax: 605-882-6391
Mrs. Carolyn Holien, Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 601 11th St Ne, Watertown, SD 57201 Phone: 605-882-6370

Shelly Eileen Holida, MA CCC-SLP - Medicare Speech-Language Pathologist in Watertown, SD