Speakeasy Clinic - Medicare Speech-Language Pathologist in Pascagoula, MS

Speakeasy Clinic is a medicare enrolled "Speech-language Pathologist" provider in Pascagoula, Mississippi. Their current practice location is 3452 Pascagoula St Ste 2, Pascagoula, Mississippi. You can reach out to their office (for appointments etc.) via phone at (228) 219-4793.

Speakeasy Clinic is licensed to practice in * (Not Available) (license number ) and it also participates in the medicare program. Speakeasy Clinic 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 1649933250.

Contact Information

Speakeasy Clinic
3452 Pascagoula St Ste 2,
Pascagoula, MS 39567-3203
(228) 219-4793
Not Available

Map and Direction




Healthcare Provider's Profile

Full NameSpeakeasy Clinic
TypeFacility
SpecialitySpeech-language Pathologist
Location3452 Pascagoula St Ste 2, Pascagoula, Mississippi
Accepts Medicare AssignmentsMedicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1649933250
  • Provider Enumeration Date: 10/20/2021
  • Last Update Date: 11/12/2021
  Medicare PECOS Information:
  • PECOS PAC ID: 5092105858
  • Enrollment ID: O20211209001799

Medical Identifiers

Medical identifiers for Speakeasy Clinic such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1649933250NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
235Z00000XSpeech-language Pathologist (* (Not Available))Primary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Speakeasy Clinic acts as a billing entity for following providers:
Provider NameTerral Latady
Provider TypePractitioner - Qualified Speech Language Pathologist
Provider IdentifiersNPI Number: 1174047302
PECOS PAC ID: 6901296763
Enrollment ID: I20211209001939
Provider NameSharay North
Provider TypePractitioner - Qualified Speech Language Pathologist
Provider IdentifiersNPI Number: 1366105751
PECOS PAC ID: 9436541083
Enrollment ID: I20220322000046

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. Speakeasy Clinic 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 AddressPractice Location Address
Speakeasy Clinic
1403 Lake Ave,
Pascagoula, MS 39567-1626

Ph: (228) 219-4793
Speakeasy Clinic
3452 Pascagoula St Ste 2,
Pascagoula, MS 39567-3203

Ph: (228) 219-4793

Reviews and Comments


Speech-Language Pathologist in Pascagoula, MS

Lakendra Brewer,
Speech-Language Pathologist
Medicare: Not Enrolled in Medicare
Practice Location: 4403 Hospital St, Pascagoula, MS 39581
Phone: 228-762-8960    Fax: 228-769-1810
Terral Latady,
Speech-Language Pathologist
Medicare: Medicare Enrolled
Practice Location: 1403 Lake Ave, Pascagoula, MS 39567
Phone: 228-219-4793    
Pamela Loper,
Speech-Language Pathologist
Medicare: Not Enrolled in Medicare
Practice Location: 4403 Hospital St, Pascagoula, MS 39581
Phone: 228-162-8960    Fax: 662-620-9890
Shelby Alexis Parker, SLP
Speech-Language Pathologist
Medicare: Medicare Enrolled
Practice Location: 2809 Denny Ave, Pascagoula, MS 39581
Phone: 228-809-5000    
Sandi Horn, CCC-SLP
Speech-Language Pathologist
Medicare: Not Enrolled in Medicare
Practice Location: 3452 Pascagoula St, Pascagoula, MS 39567
Phone: 228-696-7088    
Sharay T North,
Speech-Language Pathologist
Medicare: Medicare Enrolled
Practice Location: 3452 Pascagoula St Ste 2, Pascagoula, MS 39567
Phone: 228-249-9449    
Rebecca Hedegaard,
Speech-Language Pathologist
Medicare: Medicare Enrolled
Practice Location: 4211 Hospital St Ste 114, Pascagoula, MS 39581
Phone: 228-762-8960    Fax: 228-769-1810

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.