Libby Brock Cheolis, MA, CCC-SLP is a medicare enrolled "Speech-language Pathologist" provider in Brooklyn Park, Minnesota. Her current practice location is
6900 78th Ave N Ste 101, Brooklyn Park, Minnesota. You can reach out to her office (for appointments etc.) via phone at
(763) 432-6875.
Libby Brock Cheolis is licensed to practice in Minnesota (license number 7792) 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 1689850406.
Healthcare Provider's Profile
Full Name | Libby Brock Cheolis |
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Gender | Female |
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Speciality | Speech-language Pathologist |
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Location | 6900 78th Ave N Ste 101, Brooklyn Park, Minnesota |
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Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1689850406
- Provider Enumeration Date: 01/10/2008
- Last Update Date: 08/10/2021
Medicare PECOS Information:
- PECOS PAC ID: 4688070899
- Enrollment ID: I20210913002410
Medical Identifiers
Medical identifiers for Libby Brock Cheolis such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1689850406 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
235Z00000X | Speech-language Pathologist | 7792 (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. Libby Brock Cheolis allows following entities to bill medicare on her behalf.
Provider Name | Accend Services Incorporated |
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Provider Type | Part B Supplier - Clinic/group Practice |
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Provider Identifiers | NPI Number: 1417023458 PECOS PAC ID: 8224134739 Enrollment ID: O20070430000468 |
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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. Libby Brock Cheolis 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 |
Libby Brock Cheolis, MA, CCC-SLP 6573 Kimberly Ln N, Maple Grove, MN 55311-3961 Ph: (612) 210-2412 | Libby Brock Cheolis, MA, CCC-SLP 6900 78th Ave N Ste 101, Brooklyn Park, MN 55445-2719 Ph: (763) 432-6875 |
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