Stacey Shepard, MA, CCC-SLP in Colorado Springs, CO - Medicare Speech-Language Pathologist Provider

Stacey Shepard, MA, CCC-SLP is a medicare enrolled "Speech-language Pathologist" provider in Colorado Springs, Colorado. Her current practice location is 6985 Tutt Blvd Ste 100, Colorado Springs, Colorado. You can reach out to her office (for appointments etc.) via phone at (719) 332-4689.

Stacey Shepard is licensed to practice in Colorado (license number 0004016) 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 1609469824.

Contact Information

	Stacey Shepard, MA, CCC-SLP
	6985 Tutt Blvd Ste 100, Colorado Springs, CO 80923-3588
	(719) 332-4689
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Stacey Shepard
Gender	Female
Speciality	Speech-language Pathologist
Location	6985 Tutt Blvd Ste 100, Colorado Springs, Colorado
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1609469824
Provider Enumeration Date: 02/18/2021
Last Update Date: 02/18/2021

Medicare PECOS Information:

PECOS PAC ID: 6800203498
Enrollment ID: I20231116000098

Medical Identifiers

Medical identifiers for Stacey Shepard such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1609469824	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
235Z00000X	Speech-language Pathologist	0004016 (Colorado)	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. Stacey Shepard allows following entities to bill medicare on her behalf.

Provider Name	Jp Therapy Llc
Provider Type	Part B Supplier - Clinic/group Practice
Provider Identifiers	NPI Number: 1851770598 PECOS PAC ID: 6709192503 Enrollment ID: O20150824001999

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. Stacey Shepard 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
Stacey Shepard, MA, CCC-SLP 6985 Tutt Blvd Ste 100, Colorado Springs, CO 80923-3588 Ph: () -	Stacey Shepard, MA, CCC-SLP 6985 Tutt Blvd Ste 100, Colorado Springs, CO 80923-3588 Ph: (719) 332-4689

Reviews and Comments

Speech-Language Pathologist in Colorado Springs, CO

Mrs. Katherine Suzanne Marshall, SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 6302 Grand Mesa Dr, Colorado Springs, CO 80923 Phone: 719-574-4492
Renae Cuevas Dias, CCC-SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 4815 Condor Creek Pt, Colorado Springs, CO 80916 Phone: 402-369-2537
Ms. Melanie Slavetskas, M.S. CCC-SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 1115 N El Paso St, Colorado Springs, CO 80903 Phone: 719-520-2000
Haley Samantha Seidman, MA, CCC-SLP Speech-Language Pathologist Medicare: Medicare Enrolled Practice Location: 917 E Moreno Ave Ste 150, Colorado Springs, CO 80903 Phone: 719-597-0822
David Daniel, Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 2316 N Wahsatch Ave # 127, Colorado Springs, CO 80907 Phone: 706-473-3454
Victoria Eileen Melendrez, MS, CF-SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 1710 Jet Stream Dr, Colorado Springs, CO 80921 Phone: 719-434-1109
Taylor Deboer, Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 209 Leta Dr, Colorado Springs, CO 80911 Phone: 719-391-3375

Stacey Shepard, MA, CCC-SLP - Medicare Speech-Language Pathologist in Colorado Springs, CO