Carrie Latvala Jerylo, MS, CCC-SLP in Andover, MN - Medicare Speech-Language Pathologist Provider

Carrie Latvala Jerylo, MS, CCC-SLP is a medicare enrolled "Speech-language Pathologist" provider in Andover, Minnesota. Her current practice location is 13750 Crosstown Dr Nw, Suite 310, Andover, Minnesota. You can reach out to her office (for appointments etc.) via phone at (763) 755-4275.

Carrie Latvala Jerylo is licensed to practice in Minnesota (license number 6292) 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 1770629297.

Contact Information

	Carrie Latvala Jerylo, MS, CCC-SLP
	13750 Crosstown Dr Nw, Suite 310, Andover, MN 55304-5853
	(763) 755-4275
	(763) 755-4261

Map and Direction

Healthcare Provider's Profile

Full Name	Carrie Latvala Jerylo
Gender	Female
Speciality	Speech-language Pathologist
Location	13750 Crosstown Dr Nw, Andover, Minnesota
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1770629297
Provider Enumeration Date: 01/30/2007
Last Update Date: 07/08/2007

Medicare PECOS Information:

PECOS PAC ID: 9830404961
Enrollment ID: I20150818004918

Medical Identifiers

Medical identifiers for Carrie Latvala Jerylo such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1770629297	NPI	-	NPPES
131G3JE	Other	MN	BLUECROSSBLUESHIELD
HP34823	Other	MN	HEALTHPARTNERS
46-00854	Other	MN	MEDICA

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
235Z00000X	Speech-language Pathologist	6292 (Minnesota)	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. Carrie Latvala Jerylo allows following entities to bill medicare on her behalf.

Provider Name	Family Speech & Therapy Services Llc
Provider Type	Part B Supplier - Clinic/group Practice
Provider Identifiers	NPI Number: 1235285966 PECOS PAC ID: 8022335397 Enrollment ID: O20150325001650

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. Carrie Latvala Jerylo 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
Carrie Latvala Jerylo, MS, CCC-SLP 14060 Aztec St Nw, Andover, MN 55304-7443 Ph: (763) 422-1392	Carrie Latvala Jerylo, MS, CCC-SLP 13750 Crosstown Dr Nw, Suite 310, Andover, MN 55304-5853 Ph: (763) 755-4275

Reviews and Comments

Speech-Language Pathologist in Andover, MN

Megan Dierking, Speech-Language Pathologist Medicare: Medicare Enrolled Practice Location: 1891 Station Pkwy Nw, Andover, MN 55304 Phone: 763-755-4275
Mrs. Melissa Sue Lonsky, CCC-SLP, OM Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 13750 Crosstown Dr Nw, Andover, MN 55304 Phone: 763-755-4275 Fax: 763-755-4261
Courtney Wagner, Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 1891 Station Pkwy Nw, Andover, MN 55304 Phone: 763-755-4275
Kristina Dose, MA, SLLP-CF/DE Speech-Language Pathologist Medicare: Medicare Enrolled Practice Location: 1891 Station Pkwy Nw, Andover, MN 55304 Phone: 763-755-4275 Fax: 763-755-4261
Ms. Kelsey Anne Wegner, M.A., CCC-SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 1891 Station Pkwy Nw, Andover, MN 55304 Phone: 763-755-4275
Nicole Morrissey, Speech-Language Pathologist Medicare: Medicare Enrolled Practice Location: 1891 Station Pkwy Nw, Andover, MN 55304 Phone: 763-350-0371
Kayla Braun, Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 1891 Station Pkwy Nw, Andover, MN 55304 Phone: 763-755-4275

Carrie Latvala Jerylo, MS, CCC-SLP - Medicare Speech-Language Pathologist in Andover, MN