Asiah Lavonne Wilborn, in Dacula, GA - Medicare Speech-Language Pathologist Provider

Asiah Lavonne Wilborn, is a medicare enrolled "Speech-language Pathologist" provider in Dacula, Georgia. Her current practice location is 1691 Cobblefield Cir, Dacula, Georgia. You can reach out to her office (for appointments etc.) via phone at (678) 349-6151.

Asiah Lavonne Wilborn is licensed to practice in * (Not Available) (license number ) 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 1043902539.

Contact Information

	Asiah Lavonne Wilborn,
	1691 Cobblefield Cir, Dacula, GA 30019-7682
	(678) 349-6151
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Asiah Lavonne Wilborn
Gender	Female
Speciality	Speech-language Pathologist
Location	1691 Cobblefield Cir, Dacula, Georgia
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1043902539
Provider Enumeration Date: 05/23/2023
Last Update Date: 05/21/2025

Medicare PECOS Information:

PECOS PAC ID: 0840640561
Enrollment ID: I20231221002437

Medical Identifiers

Medical identifiers for Asiah Lavonne Wilborn such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1043902539	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
235Z00000X	Speech-language Pathologist	(* (Not Available))	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. Asiah Lavonne Wilborn allows following entities to bill medicare on her behalf.

Provider Name	Expressive Pediatric Therapy
Provider Type	Part B Supplier - Clinic/group Practice
Provider Identifiers	NPI Number: 1265213359 PECOS PAC ID: 9931559655 Enrollment ID: O20231221000746

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. Asiah Lavonne Wilborn 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
Asiah Lavonne Wilborn, 1691 Cobblefield Cir, Dacula, GA 30019-7682 Ph: (678) 349-6151	Asiah Lavonne Wilborn, 1691 Cobblefield Cir, Dacula, GA 30019-7682 Ph: (678) 349-6151

Reviews and Comments

Speech-Language Pathologist in Dacula, GA

Beatrice Szabo Taylor, MA, SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 3581 Braselton Hwy, Dacula, GA 30019 Phone: 770-293-7864
Heidi Lawson Clayton, SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 3615 Braselton Hwy Ste 103, Dacula, GA 30019 Phone: 678-377-9634 Fax: 678-377-9609
Katherine S. Gentzel, CCC-SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 3615 Braselton Hwy Ste 103, Dacula, GA 30019 Phone: 678-377-9634 Fax: 678-377-9609
Lauren Cochran, MED, CCC-SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 1854 Auburn Rd Ste 101, Dacula, GA 30019 Phone: 770-904-6009
Adelyn Joy Simmons, SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 3615 Braselton Hwy Ste 103, Dacula, GA 30019 Phone: 678-377-9634 Fax: 678-377-9609
Stephanie Perez, M.S., CCC-SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 3615 Braselton Hwy Ste 103, Dacula, GA 30019 Phone: 678-377-9634 Fax: 678-377-9609

Asiah Lavonne Wilborn, - Medicare Speech-Language Pathologist in Dacula, GA