Derek James Knoth, in Zeeland, MI - Medicare Speech-Language Pathologist Provider

Derek James Knoth, is a medicare enrolled "Speech-language Pathologist" provider in Zeeland, Michigan. His current practice location is 320 E Central Ave, Zeeland, Michigan. You can reach out to his office (for appointments etc.) via phone at (616) 772-9191.

Derek James Knoth is licensed to practice in Michigan (license number 7101005757) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1730644907.

Contact Information

	Derek James Knoth,
	320 E Central Ave, Zeeland, MI 49464-1706
	(616) 772-9191
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Derek James Knoth
Gender	Male
Speciality	Speech-language Pathologist
Location	320 E Central Ave, Zeeland, Michigan
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1730644907
Provider Enumeration Date: 02/01/2019
Last Update Date: 05/27/2025

Medicare PECOS Information:

PECOS PAC ID: 6103281720
Enrollment ID: I20230503001253

Medical Identifiers

Medical identifiers for Derek James Knoth such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1730644907	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
235Z00000X	Speech-language Pathologist	7101005757 (Michigan)	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. Derek James Knoth allows following entities to bill medicare on his behalf.

Provider Name	Fox Rehabilitation Services Mi Llc
Provider Type	Part B Supplier - Physical/occupational Therapy Group In Private Practice
Provider Identifiers	NPI Number: 1790324648 PECOS PAC ID: 2769819960 Enrollment ID: O20200228000658

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. Derek James Knoth 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
Derek James Knoth, 5880 Canal Ave Sw, Wyoming, MI 49418-9372 Ph: (616) 250-1029	Derek James Knoth, 320 E Central Ave, Zeeland, MI 49464-1706 Ph: (616) 772-9191

Reviews and Comments

Speech-Language Pathologist in Zeeland, MI

Mrs. Jami Michelle Petersen, MA, CCC-SLP Speech-Language Pathologist Medicare: Medicare Enrolled Practice Location: 400 S State St Ste 100, Zeeland, MI 49464 Phone: 616-772-1370 Fax: 616-772-9774
Michelle Konynenbelt, Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 8900 Mica Dr, Zeeland, MI 49464 Phone: 616-405-6653
Lakeshore Speech Services, Llc Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 8900 Mica Dr, Zeeland, MI 49464 Phone: 616-405-6653
Martha Veldkamp, Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 8333 Felch St, Zeeland, MI 49464 Phone: 616-772-4644
Josilyn Vandewaa, MA CCC-SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 320 E Central Ave, Zeeland, MI 49464 Phone: 616-772-9191
Kristen Van De Riet, Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 10263 Chicago Dr, Zeeland, MI 49464 Phone: 616-422-0922

Derek James Knoth, - Medicare Speech-Language Pathologist in Zeeland, MI