Athanasia Kyriazis, in Waldorf, MD - Medicare Speech-Language Pathologist Provider

Athanasia Kyriazis, is a medicare enrolled "Speech-language Pathologist" provider in Waldorf, Maryland. Her current practice location is 4140 Old Washington Rd, Waldorf, Maryland. You can reach out to her office (for appointments etc.) via phone at (310) 645-2813.

Athanasia Kyriazis is licensed to practice in California (license number 34309) 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 1801678735.

Contact Information

	Athanasia Kyriazis,
	4140 Old Washington Rd, Waldorf, MD 20602-3221
	(310) 645-2813
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Athanasia Kyriazis
Gender	Female
Speciality	Speech-language Pathologist
Location	4140 Old Washington Rd, Waldorf, Maryland
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1801678735
Provider Enumeration Date: 10/16/2023
Last Update Date: 12/18/2025

Medicare PECOS Information:

PECOS PAC ID: 3577903178
Enrollment ID: I20240430001887

Medical Identifiers

Medical identifiers for Athanasia Kyriazis such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1801678735	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
235Z00000X	Speech-language Pathologist	11786 (Maryland)	Secondary
235Z00000X	Speech-language Pathologist	2202012092 (Virginia)	Secondary
235Z00000X	Speech-language Pathologist	34309 (California)	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. Athanasia Kyriazis allows following entities to bill medicare on her behalf.

Provider Name	Southern California Permanente Medical Group
Provider Type	Part B Supplier - Clinic/group Practice
Provider Identifiers	NPI Number: 1770515280 PECOS PAC ID: 6002729175 Enrollment ID: O20031110000678

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. Athanasia Kyriazis 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
Athanasia Kyriazis, 9906 Aura Ave Apt Suite, Northridge, CA 91324-1101 Ph: (818) 885-8410	Athanasia Kyriazis, 4140 Old Washington Rd, Waldorf, MD 20602-3221 Ph: (310) 645-2813

Reviews and Comments

Speech-Language Pathologist in Waldorf, MD

Ms. Julia Yvette Romero, M.S. Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 4140 Old Washington Rd, Waldorf, MD 20602 Phone: 301-645-2813
Speaking Of... Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 2382 Paddington Ct, Waldorf, MD 20602 Phone: 240-676-3552
Rachel Cope, Speech-Language Pathologist Medicare: Medicare Enrolled Practice Location: 11665 Doolittle Dr, Waldorf, MD 20602 Phone: 877-407-3422 Fax: 877-407-4329
Mrs. Aria Cook, Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 2313 Ironwood Dr, Waldorf, MD 20601 Phone: 443-687-6362
Ciara Marie Achord, Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 12105 Saint Georges Dr, Waldorf, MD 20602 Phone: 301-753-2086
Niketa Gordon, Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 4140 Old Washington Rd, Waldorf, MD 20602 Phone: 301-645-2813 Fax: 301-645-9317
Katherine Joi Logan, CF-SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 4140 Old Washington Rd, Waldorf, MD 20602 Phone: 301-645-2813

Athanasia Kyriazis, - Medicare Speech-Language Pathologist in Waldorf, MD