Carrie Renee Rydstrom, is a medicare enrolled "Speech-language Pathologist" provider in Kemmerer, Wyoming. She graduated from medical school in 2019 and has 7 years of diverse experience with area of expertise as Qualified Speech Language Pathologist. She is a member of the group practice Speakeasy Therapy Services Llc and her current practice location is
711 Onyx St, Kemmerer, Wyoming. You can reach out to her office (for appointments etc.) via phone at
(307) 877-4496.
Carrie Renee Rydstrom is licensed to practice in * (Not Available) (license number ) and she also participates in the medicare program. She
accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1750173886.
Healthcare Provider's Profile
| Full Name | Carrie Renee Rydstrom |
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| Gender | Female |
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| Speciality | Qualified Speech Language Pathologist |
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| Experience | 7 Years |
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| Location | 711 Onyx St, Kemmerer, Wyoming |
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| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Carrie Renee Rydstrom graduated from medical school in 2019
NPI Data:
- NPI Number: 1750173886
- Provider Enumeration Date: 05/22/2025
- Last Update Date: 06/04/2025
Medicare PECOS Information:
- PECOS PAC ID: 2365921756
- Enrollment ID: I20260205003307
Medical Identifiers
Medical identifiers for Carrie Renee Rydstrom such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1750173886 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 235Z00000X | Speech-language Pathologist | (* (Not Available)) | Primary |
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
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| Speakeasy Therapy Services Llc | 3870867369 | 11 |
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 Renee Rydstrom allows following entities to bill medicare on her behalf.
| Provider Name | Speakeasy Therapy Services LLC |
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| Provider Type | Part B Supplier - Clinic/group Practice |
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| Provider Identifiers | NPI Number: 1114315801
PECOS PAC ID: 3870867369
Enrollment ID: O20170921003383 |
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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 Renee Rydstrom 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 |
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Carrie Renee Rydstrom,
Po Box 1179,
Kemmerer, WY 83101-1179
Ph: (605) 670-6215 | Carrie Renee Rydstrom,
711 Onyx St,
Kemmerer, WY 83101-3214
Ph: (307) 877-4496 |
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