Corry Summerville, SLP in Washington, DC - Medicare Speech-Language Pathologist Provider

Corry Summerville, SLP is a medicare enrolled "Speech-language Pathologist" provider in Washington, District Of Columbia. His current practice location is 4656 Livingston Rd Se, Washington, District Of Columbia. You can reach out to his office (for appointments etc.) via phone at (202) 519-0982.

Corry Summerville is licensed to practice in Pennsylvania (license number SL011571) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1124541792.

Contact Information

	Corry Summerville, SLP
	4656 Livingston Rd Se, Washington, DC 20032-3149
	(202) 519-0982
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Corry Summerville
Gender	Male
Speciality	Speech-language Pathologist
Location	4656 Livingston Rd Se, Washington, District Of Columbia
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1124541792
Provider Enumeration Date: 07/25/2017
Last Update Date: 10/30/2023

Medicare PECOS Information:

PECOS PAC ID: 8123474780
Enrollment ID: I20231102001404

Medical Identifiers

Medical identifiers for Corry Summerville such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1124541792	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
235Z00000X	Speech-language Pathologist	11096 (North Carolina)	Secondary
235Z00000X	Speech-language Pathologist	SA12982 (Florida)	Secondary
235Z00000X	Speech-language Pathologist	SL011571 (Pennsylvania)	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. Corry Summerville allows following entities to bill medicare on his behalf.

Provider Name	Creative Health Care Management Llc
Provider Type	Part B Supplier - Clinic/group Practice
Provider Identifiers	NPI Number: 1487239349 PECOS PAC ID: 4385929892 Enrollment ID: O20210427000697

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. Corry Summerville 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
Corry Summerville, SLP 3000 Goffs Falls Rd Ste 101, Manchester, NH 03103-6109 Ph: (800) 995-2673	Corry Summerville, SLP 4656 Livingston Rd Se, Washington, DC 20032-3149 Ph: (202) 519-0982

Reviews and Comments

Speech-Language Pathologist in Washington, DC

Sheryl Jacob Desbordes, Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 2041 Georgia Ave Nw, Washington, DC 20060 Phone: 202-865-4424
Karen Garrido-nag, MS, CCC-SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 800 Florida Ave Ne, Speech, Language And Hearing Sciences, Washington, DC 20002 Phone: 202-448-6964 Fax: 202-448-5324
Voicetrainer, Llc Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 1701 Pennsylvania Ave Nw, Suite 300, Washington, DC 20006 Phone: 202-580-6646 Fax: 202-580-6559
Samantha Wasilus, M.S CCC SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 4880 Macarthur Blvd Nw, Washington, DC 20007 Phone: 202-333-1403 Fax: 202-333-1404
Tahera Sparks, Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 3801 Connecticut Ave Nw # 100, Washington, DC 20008 Phone: 202-525-1641
Sydney Smith, Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 201 Massachusetts Ave Ne Ste C9, Washington, DC 20002 Phone: 202-544-5469
Joyce Doyle, Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 3009 5th St Se, Washington, DC 20032 Phone: 571-221-2840

Corry Summerville, SLP - Medicare Speech-Language Pathologist in Washington, DC