Cassidy Krawczak-kummrow, in Eden Prairie, MN - Medicare Qualified Speech Language Pathologist Provider

Cassidy Krawczak-kummrow, is a medicare enrolled "Speech-language Pathologist" provider in Eden Prairie, Minnesota. She graduated from medical school in 2023 and has 2 years of diverse experience with area of expertise as Qualified Speech Language Pathologist. She is a member of the group practice Odom Sports Medicine Pa and her current practice location is 6545 Flying Cloud Dr Ste 201, Eden Prairie, Minnesota. You can reach out to her office (for appointments etc.) via phone at (612) 364-1901.

Cassidy Krawczak-kummrow 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 1699668533.

Contact Information

	Cassidy Krawczak-kummrow,
	6545 Flying Cloud Dr Ste 201, Eden Prairie, MN 55344-3356
	(612) 364-1901
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Cassidy Krawczak-kummrow
Gender	Female
Speciality	Qualified Speech Language Pathologist
Experience	2 Years
Location	6545 Flying Cloud Dr Ste 201, Eden Prairie, Minnesota
Accepts Medicare Assignments	Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Cassidy Krawczak-kummrow graduated from medical school in 2023

NPI Data:

NPI Number: 1699668533
Provider Enumeration Date: 05/30/2025
Last Update Date: 05/30/2025

Medicare PECOS Information:

PECOS PAC ID: 5294245734
Enrollment ID: I20250612001032

Medical Identifiers

Medical identifiers for Cassidy Krawczak-kummrow such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1699668533	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
235Z00000X	Speech-language Pathologist	(* (Not Available))	Primary

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Odom Sports Medicine Pa	0143485607	66

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. Cassidy Krawczak-kummrow allows following entities to bill medicare on her behalf.

Provider Name	Odom Sports Medicine Pa
Provider Type	Part B Supplier - Clinic/group Practice
Provider Identifiers	NPI Number: 1275557886 PECOS PAC ID: 0143485607 Enrollment ID: O20120706000533

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. Cassidy Krawczak-kummrow 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
Cassidy Krawczak-kummrow, 6545 Flying Cloud Dr Ste 201, Eden Prairie, MN 55344-3356 Ph: (612) 364-1901	Cassidy Krawczak-kummrow, 6545 Flying Cloud Dr Ste 201, Eden Prairie, MN 55344-3356 Ph: (612) 364-1901

Reviews and Comments

Speech-Language Pathologist in Eden Prairie, MN

Jennifer Dorothy Miller, MS CCC-SLP Speech-Language Pathologist Medicare: Medicare Enrolled Practice Location: 7624 Executive Dr, Eden Prairie, MN 55344 Phone: 952-944-0240 Fax: 952-944-0241
Natasha Agha, CCC-SLP Speech-Language Pathologist Medicare: Medicare Enrolled Practice Location: 8307 Kimball Dr, Eden Prairie, MN 55347 Phone: 612-324-9111 Fax: 612-445-9223
Ms. Margaret Elizabeth Dvergsten-kitzrow, CCC-SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 6542 Kingfisher Ln, Eden Prairie, MN 55346 Phone: 712-291-6721
Mackenzie Wood, CCC, SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 6458 City West Pkwy, Eden Prairie, MN 55344 Phone: 952-767-6977
Kendra Vander Linden, MA, CCC-SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 7570 Market Place Dr, Eden Prairie, MN 55344 Phone: 952-944-0240
Anna Gavin, Speech-Language Pathologist Medicare: Medicare Enrolled Practice Location: 6409 City West Pkwy Ste 206, Eden Prairie, MN 55344 Phone: 952-230-8173
Amy Cantele, Speech-Language Pathologist Medicare: Accepting Medicare Assignments Practice Location: 6545 Flying Cloud Dr Ste 201, Eden Prairie, MN 55344 Phone: 612-364-1901

Cassidy Krawczak-kummrow, - Medicare Speech-Language Pathologist in Eden Prairie, MN