Theresa Blumenthal, CCC-SLP is a medicare enrolled "Speech-language Pathologist" provider in E. Setauket, New York. Her current practice location is
380 Old Town Road, E. Setauket, New York. You can reach out to her office (for appointments etc.) via phone at
(631) 730-4900.
Theresa Blumenthal is licensed to practice in New York (license number 018705) 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 1720357916.
Healthcare Provider's Profile
| Full Name | Theresa Blumenthal |
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| Gender | Female |
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| Speciality | Speech-language Pathologist |
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| Location | 380 Old Town Road, E. Setauket, New York |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
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NPI Data:
- NPI Number: 1720357916
- Provider Enumeration Date: 12/19/2011
- Last Update Date: 12/19/2011
Medicare PECOS Information:
- PECOS PAC ID: 6002351053
- Enrollment ID: I20240715000124
Medical Identifiers
Medical identifiers for Theresa Blumenthal such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1720357916 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 235Z00000X | Speech-language Pathologist | 018705 (New York) | 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. Theresa Blumenthal allows following entities to bill medicare on her behalf.
| Provider Name | Long Island University |
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| Provider Type | Part B Supplier - Clinic/group Practice |
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| Provider Identifiers | NPI Number: 1235385170
PECOS PAC ID: 0143496026
Enrollment ID: O20210817002276 |
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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. Theresa Blumenthal 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 |
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Theresa Blumenthal, CCC-SLP
14 Cardinal Ln,
Hauppauge, NY 11788-2225
Ph: (631) 265-2085 | Theresa Blumenthal, CCC-SLP
380 Old Town Road,
E. Setauket, NY 11733-3499
Ph: (631) 730-4900 |
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