Jodi Lynn Dezale, MA CCC SLP in Golden Valley, MN - Medicare Speech-Language Pathologist Provider

Jodi Lynn Dezale, MA CCC SLP is a medicare enrolled "Speech-language Pathologist" provider in Golden Valley, Minnesota. Her current practice location is 3915 Golden Valley Road, Courage Center, Golden Valley, Minnesota. You can reach out to her office (for appointments etc.) via phone at (763) 520-0714.

Jodi Lynn Dezale is licensed to practice in Minnesota (license number 7929) 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 1962535245.

Contact Information

	Jodi Lynn Dezale, MA CCC SLP
	3915 Golden Valley Road, Courage Center, Golden Valley, MN 55422-4298
	(763) 520-0714
	(763) 520-0355

Map and Direction

Healthcare Provider's Profile

Full Name	Jodi Lynn Dezale
Gender	Female
Speciality	Speech-language Pathologist
Location	3915 Golden Valley Road, Golden Valley, Minnesota
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1962535245
Provider Enumeration Date: 03/14/2007
Last Update Date: 07/08/2007

Medicare PECOS Information:

PECOS PAC ID: 4284936964
Enrollment ID: I20160114002775

Medical Identifiers

Medical identifiers for Jodi Lynn Dezale such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1962535245	NPI	-	NPPES
083HIDE	Other	MN	BCBS MINNESOTA
4600930	Other	MN	MEDICA
HP56680	Other	MN	HEALTHPARTNERS

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
235Z00000X	Speech-language Pathologist	7929 (Minnesota)	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. Jodi Lynn Dezale allows following entities to bill medicare on her behalf.

Provider Name	Associated Speech And Language Specialists Llc
Provider Type	Part B Supplier - Clinic/group Practice
Provider Identifiers	NPI Number: 1881636223 PECOS PAC ID: 1456663160 Enrollment ID: O20150709001670

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. Jodi Lynn Dezale 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
Jodi Lynn Dezale, MA CCC SLP 3915 Golden Valley Road, Courage Center, Golden Valley, MN 55422-4298 Ph: (763) 520-0714	Jodi Lynn Dezale, MA CCC SLP 3915 Golden Valley Road, Courage Center, Golden Valley, MN 55422-4298 Ph: (763) 520-0714

Reviews and Comments

Speech-Language Pathologist in Golden Valley, MN

Georgette R Danczyk, M.A., CCC-SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 3915 Golden Valley Rd, Courage Center, Golden Valley, MN 55422 Phone: 763-588-0811 Fax: 763-520-0355
Anna Smith, CCC-SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 5825 Saint Croix Ave N, Golden Valley, MN 55422 Phone: 612-405-5301
Rachell Westby, M.C.D. CCC-SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 3915 Golden Valley Rd, Courage Center, Golden Valley, MN 55422 Phone: 763-230-1337
Christine Ann Wing, MS Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 3915 Golden Valley Rd, Golden Valley, MN 55422 Phone: 763-588-0811 Fax: 763-520-0355
David A White, SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 3915 Golden Valley Road, Courage Center, Golden Valley, MN 55422 Phone: 763-520-0469 Fax: 763-520-0355
Caralynn Rachel Benoit, MA CCC SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 3915 Golden Valley Road, Courage Center, Golden Valley, MN 55422 Phone: 763-588-0811 Fax: 763-520-0355
Mr. Frederick Schaefer Jr., M.S., CCC-SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 3915 Golden Valley Rd, Golden Valley, MN 55422 Phone: 612-775-2805

Jodi Lynn Dezale, MA CCC SLP - Medicare Speech-Language Pathologist in Golden Valley, MN