Susan Deanne Kelley, MA, CCC-SLP in Bryan, TX - Medicare Speech-Language Pathologist Provider

Susan Deanne Kelley, MA, CCC-SLP is a medicare enrolled "Speech-language Pathologist" provider in Bryan, Texas. Her current practice location is 4091 Eastchester Dr, Bryan, Texas. You can reach out to her office (for appointments etc.) via phone at (228) 326-7133.

Susan Deanne Kelley is licensed to practice in Texas (license number 104778) 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 1316217805.

Contact Information

	Susan Deanne Kelley, MA, CCC-SLP
	4091 Eastchester Dr, Bryan, TX 77802-4735
	(228) 326-7133
	(979) 776-5096

Map and Direction

Healthcare Provider's Profile

Full Name	Susan Deanne Kelley
Gender	Female
Speciality	Speech-language Pathologist
Location	4091 Eastchester Dr, Bryan, Texas
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1316217805
Provider Enumeration Date: 12/30/2011
Last Update Date: 07/09/2013

Medicare PECOS Information:

PECOS PAC ID: 1355717794
Enrollment ID: I20221026001255

Medical Identifiers

Medical identifiers for Susan Deanne Kelley such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1316217805	NPI	-	NPPES
01030667	Other		ASHA CERTIFICATION NUMBER
104778	Other	TX	LICENSE TO PRACTICE

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
235Z00000X	Speech-language Pathologist	104778 (Texas)	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. Susan Deanne Kelley allows following entities to bill medicare on her behalf.

Provider Name	Ergonomic Consultants, Llc
Provider Type	Part B Supplier - Physical/occupational Therapy Group In Private Practice
Provider Identifiers	NPI Number: 1922039882 PECOS PAC ID: 6901809227 Enrollment ID: O20060807000018

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. Susan Deanne Kelley 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
Susan Deanne Kelley, MA, CCC-SLP 800 Marion Pugh Dr, Apt 901, College Station, TX 77840-2746 Ph: (228) 326-7133	Susan Deanne Kelley, MA, CCC-SLP 4091 Eastchester Dr, Bryan, TX 77802-4735 Ph: (228) 326-7133

Reviews and Comments

Speech-Language Pathologist in Bryan, TX

Molly Naaden, ST Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 302 E 24th St, Bryan, TX 77803 Phone: 979-822-6467 Fax: 979-821-9448
Katherine Fischer Henderson, Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 11599 Coleman St, Bryan, TX 77808 Phone: 832-603-1227
Suzanne M Bastian, Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 1201 Ridgedale St, Bryan, TX 77803 Phone: 979-209-2780
Cina Lucille Guthrie, BAT, MED Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 1201 Ridgedale St, Bryan, TX 77803 Phone: 979-209-2770 Fax: 979-209-2789
Virginia Clipson Johnson, MACCC-SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 1401 W. Martin Luther King, Bryan, TX 77803 Phone: 979-209-3700
Tessa Sexton, M.S., CCC-SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 1318 Memorial Dr, Bryan, TX 77802 Phone: 979-776-6268 Fax: 979-776-1456
Nathan Tanous, Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 2701 E 29th St, Bryan, TX 77802 Phone: 936-293-8800

Susan Deanne Kelley, MA, CCC-SLP - Medicare Speech-Language Pathologist in Bryan, TX