Brenna Dedeker, in Oakdale, MN - Medicare Speech-Language Pathologist Provider

Brenna Dedeker, is a medicare enrolled "Speech-language Pathologist" provider in Oakdale, Minnesota. Her current practice location is 434 Hayward Ave N, Oakdale, Minnesota. You can reach out to her office (for appointments etc.) via phone at (651) 739-2300.

Brenna Dedeker is licensed to practice in Minnesota (license number 9605) 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 1417313859.

Contact Information

	Brenna Dedeker,
	434 Hayward Ave N, Oakdale, MN 55128-5379
	(651) 739-2300
	(651) 739-2302

Map and Direction

Healthcare Provider's Profile

Full Name	Brenna Dedeker
Gender	Female
Speciality	Speech-language Pathologist
Location	434 Hayward Ave N, Oakdale, Minnesota
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1417313859
Provider Enumeration Date: 01/14/2016
Last Update Date: 10/07/2021

Medicare PECOS Information:

PECOS PAC ID: 7810271988
Enrollment ID: I20170309001286

Medical Identifiers

Medical identifiers for Brenna Dedeker such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1417313859	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
235Z00000X	Speech-language Pathologist	9605 (Minnesota)	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. Brenna Dedeker allows following entities to bill medicare on her behalf.

Provider Name	Center For Speech, Language And Learning Inc.
Provider Type	Part B Supplier - Clinic/group Practice
Provider Identifiers	NPI Number: 1164588307 PECOS PAC ID: 9931243151 Enrollment ID: O20100225000357

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. Brenna Dedeker 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
Brenna Dedeker, 434 Hayward Ave N, Oakdale, MN 55128-5379 Ph: (651) 739-2300	Brenna Dedeker, 434 Hayward Ave N, Oakdale, MN 55128-5379 Ph: (651) 739-2300

Reviews and Comments

Speech-Language Pathologist in Oakdale, MN

Jerra-lynn Boudjouk, CCC-SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 6312 45th St N, Oakdale, MN 55128 Phone: 651-777-2181
Katie A. Ryther, MS, CCC-SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 7550 16th Street Ct N, Oakdale, MN 55128 Phone: 763-200-6256
Olivia Christenson, Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 434 Hayward Ave N, Oakdale, MN 55128 Phone: 651-739-2300
Alaina Kelley, M.A., SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 6230 10th St N, Suite 220, Oakdale, MN 55128 Phone: 651-739-2300 Fax: 651-739-2302
Ms. Hannah Mae Julien, MA, SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 6230 10th St N, Suite 220, Oakdale, MN 55128 Phone: 651-739-2300 Fax: 651-739-2302
Hannah Jean Jensen, M.A., CCC-SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 434 Hayward Ave N, Oakdale, MN 55128 Phone: 651-739-2300

Brenna Dedeker, - Medicare Speech-Language Pathologist in Oakdale, MN