Jena Leigh Southerland, MS CCC-SLP is a medicare enrolled "Speech-language Pathologist" provider in Vass, North Carolina. Her current practice location is
732 Dayflower Ct, Vass, North Carolina. You can reach out to her office (for appointments etc.) via phone at
(919) 763-7326.
Jena Leigh Southerland is licensed to practice in North Carolina (license number 12927) 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 1134603533.
Healthcare Provider's Profile
Full Name | Jena Leigh Southerland |
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Gender | Female |
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Speciality | Speech-language Pathologist |
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Location | 732 Dayflower Ct, Vass, 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. |
NPI Data:
- NPI Number: 1134603533
- Provider Enumeration Date: 09/20/2018
- Last Update Date: 09/07/2023
Medicare PECOS Information:
- PECOS PAC ID: 9335493642
- Enrollment ID: I20240103002595
Medical Identifiers
Medical identifiers for Jena Leigh Southerland such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1134603533 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
235Z00000X | Speech-language Pathologist | 12927 (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. Jena Leigh Southerland allows following entities to bill medicare on her behalf.
Provider Name | Legacy Healthcare Services Inc |
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Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
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Provider Identifiers | NPI Number: 1104823400 PECOS PAC ID: 2163339722 Enrollment ID: O20170118000750 |
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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. Jena Leigh Southerland 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 |
Jena Leigh Southerland, MS CCC-SLP 732 Dayflower Ct, Vass, NC 28394-9524 Ph: () - | Jena Leigh Southerland, MS CCC-SLP 732 Dayflower Ct, Vass, NC 28394-9524 Ph: (919) 763-7326 |
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