Amy Beth Gostomelsky, CCC-SLP in Park Ridge, IL - Medicare Speech-Language Pathologist Provider

Amy Beth Gostomelsky, CCC-SLP is a medicare enrolled "Speech-language Pathologist" provider in Park Ridge, Illinois. Her current practice location is 1675 Dempster St Fl 3, Park Ridge, Illinois. You can reach out to her office (for appointments etc.) via phone at (847) 318-9330.

Amy Beth Gostomelsky is licensed to practice in Illinois (license number 146015253) 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 1760010896.

Contact Information

	Amy Beth Gostomelsky, CCC-SLP
	1675 Dempster St Fl 3, Park Ridge, IL 60068-1110
	(847) 318-9330
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Amy Beth Gostomelsky
Gender	Female
Speciality	Speech-language Pathologist
Location	1675 Dempster St Fl 3, Park Ridge, Illinois
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1760010896
Provider Enumeration Date: 04/01/2020
Last Update Date: 10/17/2024

Medicare PECOS Information:

PECOS PAC ID: 1052844214
Enrollment ID: I20241025001967

Medical Identifiers

Medical identifiers for Amy Beth Gostomelsky such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1760010896	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
235Z00000X	Speech-language Pathologist	146015253 (Illinois)	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. Amy Beth Gostomelsky allows following entities to bill medicare on her behalf.

Provider Name	Advocate Health And Hospitals Corporation
Provider Type	Part B Supplier - Clinic/group Practice
Provider Identifiers	NPI Number: 1700824455 PECOS PAC ID: 7810800935 Enrollment ID: O20031106000064

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. Amy Beth Gostomelsky 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
Amy Beth Gostomelsky, CCC-SLP 29373 Network Pl, Chicago, IL 60673-1293 Ph: () -	Amy Beth Gostomelsky, CCC-SLP 1675 Dempster St Fl 3, Park Ridge, IL 60068-1110 Ph: (847) 318-9330

Reviews and Comments

Speech-Language Pathologist in Park Ridge, IL

Mrs. Erin Renee Chiseri, M.A. CCC- SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 1500 Stewart Ave, Park Ridge, IL 60068 Phone: 847-318-4360
Madison Elizabeth Rankin, M.S., CF-SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 422 N Northwest Hwy Ste 210, Park Ridge, IL 60068 Phone: 847-699-9757 Fax: 847-696-3626
Brenda Mullan Eberline, M.S. CCC-SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 535 N Hamlin Ave, Park Ridge, IL 60068 Phone: 847-858-5350
Camille Ponce Kasprzak, Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 1675 Dempster St, Park Ridge, IL 60068 Phone: 847-723-4532 Fax: 847-723-4540
Grace Ann Malone, Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 924 Austin Ave, Park Ridge, IL 60068 Phone: 847-848-5499
Stephanie Ann Markos, SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 444 N Northwest Hwy Ste 147, Park Ridge, IL 60068 Phone: 847-610-9798
Abby Schaffer, MS Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 422 N Northwest Hwy Ste 210, Park Ridge, IL 60068 Phone: 847-699-9757

Amy Beth Gostomelsky, CCC-SLP - Medicare Speech-Language Pathologist in Park Ridge, IL