Speech Spark in De Pere, WI - Medicare Speech-Language Pathologist Provider

Speech Spark is a medicare enrolled "Speech-language Pathologist" provider in De Pere, Wisconsin. Their current practice location is 1924 Sinclair Dr, De Pere, Wisconsin. You can reach out to their office (for appointments etc.) via phone at (920) 403-0103.

Speech Spark is licensed to practice in Wisconsin (license number 2614-154) and it also participates in the medicare program. Speech Spark is enrolled with medicare and should accept medicare assignments and since they are enrolled in medicare, they may order Medicare Part D Prescription drugs, if eligible. The facility's NPI Number is 1245787480.

Contact Information

	Speech Spark
	1924 Sinclair Dr, De Pere, WI 54115-7530
	(920) 403-0103
	(888) 631-0117

Map and Direction

Healthcare Provider's Profile

Full Name	Speech Spark
Type	Facility
Speciality	Speech-language Pathologist
Location	1924 Sinclair Dr, De Pere, Wisconsin
Accepts Medicare Assignments	Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs.

NPI Data:

NPI Number: 1245787480
Provider Enumeration Date: 09/06/2016
Last Update Date: 12/07/2016

Medicare PECOS Information:

PECOS PAC ID: 0244510378
Enrollment ID: O20161207002002

Medical Identifiers

Medical identifiers for Speech Spark such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1245787480	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
235Z00000X	Speech-language Pathologist	2614-154 (Wisconsin)	Primary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Speech Spark acts as a billing entity for following providers:

Provider Name	Beth M Dolar
Provider Type	Practitioner - Qualified Speech Language Pathologist
Provider Identifiers	NPI Number: 1902062029 PECOS PAC ID: 1153601281 Enrollment ID: I20161209001448

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. Speech Spark 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
Speech Spark 1924 Sinclair Dr, De Pere, WI 54115-7530 Ph: (920) 403-0103	Speech Spark 1924 Sinclair Dr, De Pere, WI 54115-7530 Ph: (920) 403-0103

Reviews and Comments

Speech-Language Pathologist in De Pere, WI

Lori Ann Muench, MS CCC-SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 200 S 9th St, De Pere, WI 54115 Phone: 920-366-5680 Fax: 920-336-5882
Mrs. Megan Marie Ristow, MS Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 200 S 9th St, De Pere, WI 54115 Phone: 920-336-5680
Sarah Ann Verhagen, SLP Speech-Language Pathologist Medicare: Medicare Enrolled Practice Location: 1601 Lawrence Dr Ste 100, De Pere, WI 54115 Phone: 920-496-4700
Mrs. Stacey Lyn Van Grinsven, MS, CFY-SLP Speech-Language Pathologist Medicare: Medicare Enrolled Practice Location: 1601 Lawrence Dr Ste 100, De Pere, WI 54115 Phone: 920-496-4700
Nicole Lindsey Nolte Rierdon, SLP Speech-Language Pathologist Medicare: Medicare Enrolled Practice Location: 1601 Lawrence Dr, De Pere, WI 54115 Phone: 920-496-4700
Ashleigh Hayward, M.S.CCC-SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 1601 Lawrence Dr, De Pere, WI 54115 Phone: 920-496-4700

Speech Spark - Medicare Speech-Language Pathologist in De Pere, WI