Jacqueline Kudary, MA, CCC-SLP in Ada, MI - Medicare Speech-Language Pathologist Provider

Jacqueline Kudary, MA, CCC-SLP is a medicare enrolled "Speech-language Pathologist" provider in Ada, Michigan. Her current practice location is 6741 Fulton St E Ste 201, Ada, Michigan. You can reach out to her office (for appointments etc.) via phone at (616) 288-2210.

Jacqueline Kudary 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 1285283119.

Contact Information

	Jacqueline Kudary, MA, CCC-SLP
	6741 Fulton St E Ste 201, Ada, MI 49301-9502
	(616) 288-2210
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Jacqueline Kudary
Gender	Female
Speciality	Speech-language Pathologist
Location	6741 Fulton St E Ste 201, Ada, Michigan
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1285283119
Provider Enumeration Date: 09/04/2019
Last Update Date: 03/04/2025

Medicare PECOS Information:

PECOS PAC ID: 4789005125
Enrollment ID: I20200610002753

Medical Identifiers

Medical identifiers for Jacqueline Kudary such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1285283119	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. Jacqueline Kudary allows following entities to bill medicare on her behalf.

Provider Name	Logan Community Resources Inc
Provider Type	Part B Supplier - Clinic/group Practice
Provider Identifiers	NPI Number: 1891917449 PECOS PAC ID: 2961790126 Enrollment ID: O20161004002087

Provider Name	Ivyrehab Michigan Llc
Provider Type	Part B Supplier - Physical/occupational Therapy Group In Private Practice
Provider Identifiers	NPI Number: 1104337120 PECOS PAC ID: 6901165893 Enrollment ID: O20180123001245

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. Jacqueline Kudary 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
Jacqueline Kudary, MA, CCC-SLP Po Box 412031, Boston, MA 02241-2031 Ph: () -	Jacqueline Kudary, MA, CCC-SLP 6741 Fulton St E Ste 201, Ada, MI 49301-9502 Ph: (616) 288-2210

Reviews and Comments

Speech-Language Pathologist in Ada, MI

Janet Johnson Marron, MED CCCSLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 1955 Augusta Valley Ln Se, Ada, MI 49301 Phone: 919-602-4511
Sunny Day Speech Llc Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 1955 Augusta Valley Ln Se, Ada, MI 49301 Phone: 919-602-4511 Fax: 855-923-1414
Mrs. Mary E Yost, M.A. CCC-SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 1209 Dogwood Meadows Dr Se, Ada, MI 49301 Phone: 616-682-1358
Beth Pearce, M.A., CCC-SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 572 Abbey Mill Dr Se, Ada, MI 49301 Phone: 616-975-0933

Jacqueline Kudary, MA, CCC-SLP - Medicare Speech-Language Pathologist in Ada, MI