Kidology, Inc. is a medicare enrolled "Early Intervention Provider Agency" provider in Southampton, Pennsylvania. Their current practice location is
928 Jaymor Rd Ste C-150, Southampton, Pennsylvania. You can reach out to their office (for appointments etc.) via phone at
(215) 330-4116.
Kidology, Inc. is licensed to practice in Pennsylvania (license number 184704659) and it also participates in the medicare program. Kidology, Inc.
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 1023424231.
Healthcare Provider's Profile
Full Name | Kidology, Inc. |
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Type | Facility |
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Speciality | Early Intervention Provider Agency |
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Location | 928 Jaymor Rd Ste C-150, Southampton, Pennsylvania |
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Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1023424231
- Provider Enumeration Date: 07/08/2014
- Last Update Date: 11/04/2022
Medicare PECOS Information:
- PECOS PAC ID: 8527392588
- Enrollment ID: O20190625001188
Medical Identifiers
Medical identifiers for Kidology, Inc. such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1023424231 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
225100000X | Physical Therapist | (* (Not Available)) | Secondary |
225X00000X | Occupational Therapist | (* (Not Available)) | Secondary |
235Z00000X | Speech-language Pathologist | (* (Not Available)) | Secondary |
252Y00000X | Early Intervention Provider Agency | 184704659 (Pennsylvania) | Primary |
261QM0855X | Clinic/center - Adolescent And Children Mental Health | (* (Not Available)) | Secondary |
Medicare Reassignments
Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works.
Kidology, Inc. acts as a billing entity for following providers:
Provider Name | Luba Patlakh |
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Provider Type | Practitioner - Qualified Speech Language Pathologist |
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Provider Identifiers | NPI Number: 1861986978 PECOS PAC ID: 8325372386 Enrollment ID: I20190625001391 |
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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. Kidology, Inc. 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 |
Kidology, Inc. 928 Jaymor Rd Ste C-150, Southampton, PA 18966-3832 Ph: (215) 330-4116 | Kidology, Inc. 928 Jaymor Rd Ste C-150, Southampton, PA 18966-3832 Ph: (215) 330-4116 |
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