Jack Ervin, SLP in Windsor, CO - Medicare Qualified Speech Language Pathologist Provider

Jack Ervin, SLP is a medicare enrolled "Speech-language Pathologist" provider in Windsor, Colorado. He graduated from medical school in 2023 and has 2 years of diverse experience with area of expertise as Qualified Speech Language Pathologist. He is a member of the group practice Prestige Rehab Colorado, Prestige Rehab Llc and his current practice location is 1914 Iron Wheel Dr Unit 2, Windsor, Colorado. You can reach out to his office (for appointments etc.) via phone at (815) 549-8089.

Jack Ervin is licensed to practice in Colorado (license number 0005899) and he also participates in the medicare program. He accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1003614108.

Contact Information

	Jack Ervin, SLP
	1914 Iron Wheel Dr Unit 2, Windsor, CO 80550-3897
	(815) 549-8089
	(855) 678-8887

Map and Direction

Healthcare Provider's Profile

Full Name	Jack Ervin
Gender	Male
Speciality	Qualified Speech Language Pathologist
Experience	2 Years
Location	1914 Iron Wheel Dr Unit 2, Windsor, Colorado
Accepts Medicare Assignments	Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Jack Ervin graduated from medical school in 2023

NPI Data:

NPI Number: 1003614108
Provider Enumeration Date: 03/04/2025
Last Update Date: 03/04/2025

Medicare PECOS Information:

PECOS PAC ID: 4284155169
Enrollment ID: I20250307001312

Medical Identifiers

Medical identifiers for Jack Ervin such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1003614108	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
235Z00000X	Speech-language Pathologist	0005899 (Colorado)	Primary

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Prestige Rehab Colorado	1759822265	13
Prestige Rehab Llc	3375936495	62

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. Jack Ervin allows following entities to bill medicare on his behalf.

Provider Name	Prestige Rehab Llc
Provider Type	Part B Supplier - Physical/occupational Therapy Group In Private Practice
Provider Identifiers	NPI Number: 1750032553 PECOS PAC ID: 3375936495 Enrollment ID: O20240618002508

Provider Name	Prestige Rehab Colorado
Provider Type	Part B Supplier - Physical/occupational Therapy Group In Private Practice
Provider Identifiers	NPI Number: 1972333961 PECOS PAC ID: 1759822265 Enrollment ID: O20240924004741

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. Jack Ervin 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
Jack Ervin, SLP 1914 Iron Wheel Dr Unit 2, Windsor, CO 80550-3897 Ph: (815) 549-8089	Jack Ervin, SLP 1914 Iron Wheel Dr Unit 2, Windsor, CO 80550-3897 Ph: (815) 549-8089

Reviews and Comments

Speech-Language Pathologist in Windsor, CO

Heidi Jill Jahnke, Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 4650 Royal Vista Cir, Windsor, CO 80528 Phone: 970-305-5070
Mrs. Lisa Nicole Ayers, M.S., CCC-SLP Speech-Language Pathologist Medicare: Medicare Enrolled Practice Location: 561 E Garden Dr Unit B, Windsor, CO 80550 Phone: 970-833-5686 Fax: 970-833-5687
Brooke M Fischer, MHS, CCC-SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 1525 Barnwood Ct, Windsor, CO 80550 Phone: 573-275-4618
Bloom In Connection Llc Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 991 Columbine Dr, Windsor, CO 80550 Phone: 970-372-8204
Mrs. Bailey Kaye Yerby, M.S., CCC-SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 561 E Garden Dr Unit B, Windsor, CO 80550 Phone: 970-833-5686 Fax: 970-833-5687
Kayla Dawn Reed-baum, M.A. CCC-SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 710 3rd St, Windsor, CO 80550 Phone: 970-686-7474

Jack Ervin, SLP - Medicare Speech-Language Pathologist in Windsor, CO