Ellyssa Dettman, in Hutchinson, MN - Medicare Speech-Language Pathologist Provider

Ellyssa Dettman, is a medicare enrolled "Speech-language Pathologist" provider in Hutchinson, Minnesota. Her current practice location is 100 Glen St Sw, Hutchinson, Minnesota. You can reach out to her office (for appointments etc.) via phone at (952) 223-2506.

Ellyssa Dettman is licensed to practice in * (Not Available) (license number ) 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 1689248114.

Contact Information

	Ellyssa Dettman,
	100 Glen St Sw, Hutchinson, MN 55350-2428
	(952) 223-2506
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Ellyssa Dettman
Gender	Female
Speciality	Speech-language Pathologist
Location	100 Glen St Sw, Hutchinson, Minnesota
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1689248114
Provider Enumeration Date: 05/19/2021
Last Update Date: 04/15/2026

Medicare PECOS Information:

PECOS PAC ID: 5890172324
Enrollment ID: I20220521000317

Medical Identifiers

Medical identifiers for Ellyssa Dettman such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1689248114	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
235Z00000X	Speech-language Pathologist	(* (Not Available))	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. Ellyssa Dettman allows following entities to bill medicare on her behalf.

Provider Name	Sunnydays Therapy Inc
Provider Type	Part B Supplier - Clinic/group Practice
Provider Identifiers	NPI Number: 1891914412 PECOS PAC ID: 5698900314 Enrollment ID: O20131104001388

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. Ellyssa Dettman 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
Ellyssa Dettman, 100 Glen St Sw, Hutchinson, MN 55350-2428 Ph: (320) 587-2837	Ellyssa Dettman, 100 Glen St Sw, Hutchinson, MN 55350-2428 Ph: (952) 223-2506

Reviews and Comments

Speech-Language Pathologist in Hutchinson, MN

Lynn V. Juntunen, M.S., CCC-SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 135 N High Dr Ne, Hutchinson, MN 55350 Phone: 320-234-4919
Robin Renee Dettman, Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 875 School Rd Sw, Hutchinson, MN 55350 Phone: 320-587-4470
Susan M Stevens Kasal, MA, CCC-SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 1095 Highway 15 S, Hutchinson, MN 55350 Phone: 320-234-5000
Crow River Speech Services, Llc Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 409 Connecticut St Nw, Hutchinson, MN 55350 Phone: 320-365-1201
Sherry Tauer-nere, Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 1555 Sherwood St Se, Hutchinson, MN 55350 Phone: 320-484-6020
Stacie Regep, Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 20288 Highway 15 N Ste 100, Hutchinson, MN 55350 Phone: 320-587-2326
Caroline Ann Paulson, M.S., CCC-SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 875 School Rd Sw, Hutchinson, MN 55350 Phone: 320-587-4470

Ellyssa Dettman, - Medicare Speech-Language Pathologist in Hutchinson, MN