Jennie Mccormick, in Manitowoc, WI - Medicare Speech-Language Pathologist Provider

Jennie Mccormick, is a medicare enrolled "Speech-language Pathologist" provider in Manitowoc, Wisconsin. Her current practice location is 1650 S 41st St, Manitowoc, Wisconsin. You can reach out to her office (for appointments etc.) via phone at (920) 320-3100.

Jennie Mccormick is licensed to practice in Wisconsin (license number 6076) 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 1053022962.

Contact Information

	Jennie Mccormick,
	1650 S 41st St, Manitowoc, WI 54220-7316
	(920) 320-3100
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Jennie Mccormick
Gender	Female
Speciality	Speech-language Pathologist
Location	1650 S 41st St, Manitowoc, Wisconsin
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1053022962
Provider Enumeration Date: 12/12/2022
Last Update Date: 12/12/2022

Medicare PECOS Information:

PECOS PAC ID: 2961939251
Enrollment ID: I20241227001509

Medical Identifiers

Medical identifiers for Jennie Mccormick such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1053022962	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
235Z00000X	Speech-language Pathologist	6076 (Wisconsin)	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. Jennie Mccormick allows following entities to bill medicare on her behalf.

Provider Name	Healthpro Heritage Rehab & Fitness Llc
Provider Type	Part B Supplier - Clinic/group Practice
Provider Identifiers	NPI Number: 1841063872 PECOS PAC ID: 6507832573 Enrollment ID: O20240131003585

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. Jennie Mccormick 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
Jennie Mccormick, 1650 S 41st St, Manitowoc, WI 54220-7316 Ph: (920) 320-3100	Jennie Mccormick, 1650 S 41st St, Manitowoc, WI 54220-7316 Ph: (920) 320-3100

Reviews and Comments

Speech-Language Pathologist in Manitowoc, WI

Rachelle Marie Pollen, MS CCC Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 960 S Rapids Rd, Manitowoc, WI 54220 Phone: 920-684-1144
Lola Bridget Defever, MS, CF-SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 2300 Western Ave, Manitowoc, WI 54220 Phone: 262-804-7554
Angela Popp, M.S. CCC/SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 600 York St, Manitowoc, WI 54220 Phone: 920-320-6750 Fax: 920-682-1981
Hailey Elizabeth Boyer, SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 2300 Western Ave, Manitowoc, WI 54220 Phone: 920-684-2011
Erica Ann Helein Jansky, MS-CCC-SLP Speech-Language Pathologist Medicare: Medicare Enrolled Practice Location: 2021 S Alverno Rd, Manitowoc, WI 54220 Phone: 920-683-4108
Paula Tenpas Johnson, M.S. CCC/SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 600 York St, Manitowoc, WI 54220 Phone: 920-320-6850 Fax: 920-682-1981

Jennie Mccormick, - Medicare Speech-Language Pathologist in Manitowoc, WI