Mary Mellencamp, - Speech-Language Pathologist in Georgetown, TX

Mary Mellencamp, is a Speech-language Pathologist based in Georgetown, Texas. Mary Mellencamp is licensed to practice in Texas (license number 114667) and her current practice location is 4402 Williams Dr Ste 115, Georgetown, Texas. She can be reached at her office (for appointments etc.) via phone at (832) 655-3754.

NPI number for Mary Mellencamp is 1295394088 and her current mailing address is 1500 Cullen Ave, Austin, Texas. She does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1295394088.

Contact Information

Mary Mellencamp,
4402 Williams Dr Ste 115,
Georgetown, TX 78628-1388
(832) 655-3754
Not Available

Map and Direction




Healthcare Provider's Profile

Full NameMary Mellencamp
GenderFemale
SpecialitySpeech-language Pathologist
Location4402 Williams Dr Ste 115, Georgetown, Texas
Accepts Medicare AssignmentsDoes not participate in Medicare Program. She may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1295394088
  • Provider Enumeration Date: 06/06/2019
  • Last Update Date: 11/27/2023

Medical Identifiers

Medical identifiers for Mary Mellencamp such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1295394088NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
235Z00000XSpeech-language Pathologist 114667 (Texas)Primary

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. Mary Mellencamp is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Mary Mellencamp,
1500 Cullen Ave,
Austin, TX 78757-2529

Ph: (832) 655-3754
Mary Mellencamp,
4402 Williams Dr Ste 115,
Georgetown, TX 78628-1388

Ph: (832) 655-3754

Reviews and Comments


Speech-Language Pathologist in Georgetown, TX

Chelsea Michelle Carter,
Speech-Language Pathologist
Medicare: Accepting Medicare Assignments
Practice Location: 4402 Williams Dr Ste 115, Georgetown, TX 78628
Phone: 512-256-7627    
Kelly Walker,
Speech-Language Pathologist
Medicare: Medicare Enrolled
Practice Location: 109 Estrella Xing, Georgetown, TX 78628
Phone: 512-943-9804    
Jennifer Briseno,
Speech-Language Pathologist
Medicare: Not Enrolled in Medicare
Practice Location: 4402 Williams Dr Ste 115, Georgetown, TX 78628
Phone: 512-256-7627    Fax: 512-375-3291
Nadene Hanna, M.S., CCC/SLP
Speech-Language Pathologist
Medicare: Not Enrolled in Medicare
Practice Location: 507 E University Ave, Georgetown, TX 78626
Phone: 512-943-5000    Fax: 512-943-5004
Melinda Benson,
Speech-Language Pathologist
Medicare: Not Enrolled in Medicare
Practice Location: 401 Bellaire Dr, Georgetown, TX 78628
Phone: 512-943-5030    
Lucy Fuller, MA, CCC-SLP
Speech-Language Pathologist
Medicare: Not Enrolled in Medicare
Practice Location: 1524 Leander Rd, Georgetown, TX 78628
Phone: 512-887-2187    
Kristi Kvapil Bruton, M.A., CCC-SLP
Speech-Language Pathologist
Medicare: Not Enrolled in Medicare
Practice Location: 1601 Rockride Ln, Georgetown, TX 78626
Phone: 512-943-1820    

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.