Sondra J Bistline, MS is a medicare enrolled "Speech-language Pathologist" provider in Fredonia, Arizona. Her current practice location is
45 North 100 East, Fredonia, Arizona. You can reach out to her office (for appointments etc.) via phone at
(928) 606-3565.
Sondra J Bistline is licensed to practice in Arizona (license number SLP6667) 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 1174823843.
Healthcare Provider's Profile
Full Name | Sondra J Bistline |
---|
Gender | Female |
---|
Speciality | Speech-language Pathologist |
---|
Location | 45 North 100 East, Fredonia, Arizona |
---|
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1174823843
- Provider Enumeration Date: 10/28/2010
- Last Update Date: 04/22/2020
Medicare PECOS Information:
- PECOS PAC ID: 2860815958
- Enrollment ID: I20200708001514
Medical Identifiers
Medical identifiers for Sondra J Bistline such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1174823843 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
235Z00000X | Speech-language Pathologist | TSLP6667 (Arizona) | Secondary |
235Z00000X | Speech-language Pathologist | SLP6667 (Arizona) | Primary |
235Z00000X | Speech-language Pathologist | 8562432-4102 (Utah) | Secondary |
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. Sondra J Bistline allows following entities to bill medicare on her behalf.
Provider Name | Speakn Up Llc |
---|
Provider Type | Part B Supplier - Clinic/group Practice |
---|
Provider Identifiers | NPI Number: 1003436700 PECOS PAC ID: 1951724046 Enrollment ID: O20200708001363 |
---|
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. Sondra J Bistline 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 |
Sondra J Bistline, MS Po Box 843, 45 N. 100 E., Fredonia, AZ 86022-0843 Ph: (928) 606-3565 | Sondra J Bistline, MS 45 North 100 East, Fredonia, AZ 86022-0843 Ph: (928) 606-3565 |
Reviews and Comments