Emily Roxanna Hornback, MS, CCC-SLP, BCS-S is a medicare enrolled "Speech-language Pathologist" provider in Dallas, North Carolina. Her current practice location is
139 Gibralter Point Rd, Dallas, North Carolina. You can reach out to her office (for appointments etc.) via phone at
(704) 299-1083.
Emily Roxanna Hornback is licensed to practice in North Carolina (license number 1309111) 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 1811234214.
Healthcare Provider's Profile
| Full Name | Emily Roxanna Hornback |
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| Gender | Female |
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| Speciality | Speech-language Pathologist |
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| Location | 139 Gibralter Point Rd, Dallas, North Carolina |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
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NPI Data:
- NPI Number: 1811234214
- Provider Enumeration Date: 01/07/2013
- Last Update Date: 06/21/2025
Medicare PECOS Information:
- PECOS PAC ID: 2365841590
- Enrollment ID: I20210520001407
Medical Identifiers
Medical identifiers for Emily Roxanna Hornback such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1811234214 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 235Z00000X | Speech-language Pathologist | 1309111 (North Carolina) | 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. Emily Roxanna Hornback allows following entities to bill medicare on her behalf.
| Provider Name | Appalachian State University |
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| Provider Type | Part B Supplier - Clinic/group Practice |
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| Provider Identifiers | NPI Number: 1851387286
PECOS PAC ID: 8325068877
Enrollment ID: O20051130000010 |
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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. Emily Roxanna Hornback 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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Emily Roxanna Hornback, MS, CCC-SLP, BCS-S
139 Gibralter Point Rd,
Dallas, NC 28034-8678
Ph: (704) 299-1083 | Emily Roxanna Hornback, MS, CCC-SLP, BCS-S
139 Gibralter Point Rd,
Dallas, NC 28034-8678
Ph: (704) 299-1083 |
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