Alyssa Misiak, SLP in Kentwood, MI - Medicare Speech-Language Pathologist Provider

Alyssa Misiak, SLP is a medicare enrolled "Speech-language Pathologist" provider in Kentwood, Michigan. Her current practice location is 2450 44th St Se Ste 201, Kentwood, Michigan. You can reach out to her office (for appointments etc.) via phone at (616) 528-0870.

Alyssa Misiak is licensed to practice in Michigan (license number 7152000483) 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 1396439394.

Contact Information

	Alyssa Misiak, SLP
	2450 44th St Se Ste 201, Kentwood, MI 49512-9081
	(616) 528-0870
	(616) 591-5684

Map and Direction

Healthcare Provider's Profile

Full Name	Alyssa Misiak
Gender	Female
Speciality	Speech-language Pathologist
Location	2450 44th St Se Ste 201, Kentwood, Michigan
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1396439394
Provider Enumeration Date: 06/05/2023
Last Update Date: 02/14/2024

Medicare PECOS Information:

PECOS PAC ID: 1658716360
Enrollment ID: I20240304001327

Medical Identifiers

Medical identifiers for Alyssa Misiak such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1396439394	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
235Z00000X	Speech-language Pathologist	7152000483 (Michigan)	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. Alyssa Misiak allows following entities to bill medicare on her behalf.

Provider Name	Duncan Lake Speech Therapy, Llc
Provider Type	Part B Supplier - Clinic/group Practice
Provider Identifiers	NPI Number: 1376195925 PECOS PAC ID: 6305258203 Enrollment ID: O20201217002575

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. Alyssa Misiak 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
Alyssa Misiak, SLP 1303 Cobb Dr Se Apt 3b, Grand Rapids, MI 49508-7168 Ph: () -	Alyssa Misiak, SLP 2450 44th St Se Ste 201, Kentwood, MI 49512-9081 Ph: (616) 528-0870

Reviews and Comments

Speech-Language Pathologist in Kentwood, MI

Mrs. Anne Marie Aurand, MA SLP-CFY Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 4707 John C Ct Se, Kentwood, MI 49508 Phone: 616-281-4779
Hannah Blackwell, SLP Speech-Language Pathologist Medicare: Medicare Enrolled Practice Location: 2450 44th St Se Ste 201, Kentwood, MI 49512 Phone: 616-528-0870
Caitlin Joan Reyes Cordero, Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 2450 44th St Se Ste 201, Kentwood, MI 49512 Phone: 616-528-0870
Michelle Meyer Essenberg, Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 1423 60th St Se, Kentwood, MI 49508 Phone: 616-445-3535
Bethany Kemler, Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 5358 Brookwood Dr Se, Kentwood, MI 49508 Phone: 616-340-1186
Ms. Tamiko E Teshima, M.A., CCC-SLP Speech-Language Pathologist Medicare: Medicare Enrolled Practice Location: 2450 44th St Se Ste 201, Kentwood, MI 49512 Phone: 616-528-0870 Fax: 616-591-5684

Alyssa Misiak, SLP - Medicare Speech-Language Pathologist in Kentwood, MI