Mikaela Pender, MA CCC-SLP in Cape Girardeau, MO - Medicare Speech-Language Pathologist Provider

Mikaela Pender, MA CCC-SLP is a medicare enrolled "Speech-language Pathologist" provider in Cape Girardeau, Missouri. Her current practice location is 2137 William St, Cape Girardeau, Missouri. You can reach out to her office (for appointments etc.) via phone at (573) 803-3338.

Mikaela Pender is licensed to practice in Missouri (license number 2022033265) 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 1053142521.

Contact Information

	Mikaela Pender, MA CCC-SLP
	2137 William St, Cape Girardeau, MO 63703-5817
	(573) 803-3338
	(844) 579-0089

Map and Direction

Healthcare Provider's Profile

Full Name	Mikaela Pender
Gender	Female
Speciality	Speech-language Pathologist
Location	2137 William St, Cape Girardeau, Missouri
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1053142521
Provider Enumeration Date: 08/08/2024
Last Update Date: 08/08/2024

Medicare PECOS Information:

PECOS PAC ID: 8729504402
Enrollment ID: I20250424003738

Medical Identifiers

Medical identifiers for Mikaela Pender such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1053142521	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
235Z00000X	Speech-language Pathologist	2022033265 (Missouri)	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. Mikaela Pender allows following entities to bill medicare on her behalf.

Provider Name	Elite Dysphagia Diagnostics & Speech Services, Llc
Provider Type	Part B Supplier - Clinic/group Practice
Provider Identifiers	NPI Number: 1184280729 PECOS PAC ID: 8527491760 Enrollment ID: O20191203000530

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. Mikaela Pender 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
Mikaela Pender, MA CCC-SLP 2137 William St, Cape Girardeau, MO 63703-5817 Ph: (573) 803-3338	Mikaela Pender, MA CCC-SLP 2137 William St, Cape Girardeau, MO 63703-5817 Ph: (573) 803-3338

Reviews and Comments

Speech-Language Pathologist in Cape Girardeau, MO

Jackie A. Jones, CCC-SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 3433 Glenview Dr, Cape Girardeau, MO 63701 Phone: 573-335-8010
Christina Bruenderman, Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 1825 Margaret St, Cape Girardeau, MO 63701 Phone: 573-270-2791
Rachel Hearnes August, Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 1910 Grandview Dr, Cape Girardeau, MO 63701 Phone: 573-233-5481
Audrey Farnham, CF-SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 1910 Whitener St, Cape Girardeau, MO 63701 Phone: 573-334-2923
Lauren Elizabeth Haney, MA, CF-SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 611 N Fountain St, Cape Girardeau, MO 63701 Phone: 573-986-4985
Julie Spooler, M.A.,CCC-SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 2561 Cobblestone Ct, Cape Girardeau, MO 63701 Phone: 573-335-9182

Mikaela Pender, MA CCC-SLP - Medicare Speech-Language Pathologist in Cape Girardeau, MO