Mrs Kathleen Ellen Derga, MACCC/SLP in Medina, OH - Medicare Speech-Language Pathologist Provider

Mrs Kathleen Ellen Derga, MACCC/SLP is a medicare enrolled "Speech-language Pathologist" provider in Medina, Ohio. Her current practice location is 435 W Liberty St, Medina, Ohio. You can reach out to her office (for appointments etc.) via phone at (216) 749-6650.

Mrs Kathleen Ellen Derga is licensed to practice in Ohio (license number SP.02499) 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 1174586838.

Contact Information

	Mrs Kathleen Ellen Derga, MACCC/SLP
	435 W Liberty St, Medina, OH 44256-2221
	(216) 749-6650
	(330) 723-8920

Map and Direction

Healthcare Provider's Profile

Full Name	Mrs Kathleen Ellen Derga
Gender	Female
Speciality	Speech-language Pathologist
Location	435 W Liberty St, Medina, Ohio
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1174586838
Provider Enumeration Date: 04/11/2006
Last Update Date: 11/06/2019

Medicare PECOS Information:

PECOS PAC ID: 3072666833
Enrollment ID: I20090728000198

Medical Identifiers

Medical identifiers for Mrs Kathleen Ellen Derga such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1174586838	NPI	-	NPPES
0148011	Medicaid	OH
11658102	Other	OH	CAQH

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
235Z00000X	Speech-language Pathologist	SP.02499 (Ohio)	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. Mrs Kathleen Ellen Derga allows following entities to bill medicare on her behalf.

Provider Name	Therapy In Motion
Provider Type	Part B Supplier - Clinic/group Practice
Provider Identifiers	NPI Number: 1578708871 PECOS PAC ID: 0941363485 Enrollment ID: O20090420000123

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. Mrs Kathleen Ellen Derga 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
Mrs Kathleen Ellen Derga, MACCC/SLP 5000 Rockside Rd Ste 500, Independence, OH 44131-2178 Ph: (216) 459-2846	Mrs Kathleen Ellen Derga, MACCC/SLP 435 W Liberty St, Medina, OH 44256-2221 Ph: (216) 749-6650

Reviews and Comments

Speech-Language Pathologist in Medina, OH

Morgan Lyn Sizler, M.A., CCC-SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 233 Jasper Ln, Medina, OH 44256 Phone: 330-321-1434
Amy Witte, SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 435 W Liberty St, Medina, OH 44256 Phone: 216-408-5267
Ms. Elizabeth Ann Hosek, M.A. CCC,SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 2400 Columbia Rd, Medina, OH 44256 Phone: 330-483-3131
Mrs. Jennifer Lee Gibbs, M.A. Speech-Language Pathologist Medicare: Medicare Enrolled Practice Location: 3637 Medina Rd, Suite 220, Medina, OH 44256 Phone: 330-952-0403 Fax: 330-952-0826
Madeline A Siket, CCC-SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 3795 Walnut Hollow Dr, Medina, OH 44256 Phone: 330-416-3730
Mrs. Barbara Lynn Prakup, M.A.,CCC-SP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 4099 Medina Rd, Medina, OH 44256 Phone: 330-725-7584
Karla Lauren Mosher-gilbert, MS, CCC/SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 1000 E Washington St, Medina, OH 44256 Phone: 330-725-1000 Fax: 330-721-4913

Mrs Kathleen Ellen Derga, MACCC/SLP - Medicare Speech-Language Pathologist in Medina, OH