Johannah Illeen Gabbard, in La Grange, KY - Medicare Speech-Language Pathologist Provider

Johannah Illeen Gabbard, is a medicare enrolled "Speech-language Pathologist" provider in La Grange, Kentucky. Her current practice location is 4603 Timberwalk Ct, La Grange, Kentucky. You can reach out to her office (for appointments etc.) via phone at (703) 575-8129.

Johannah Illeen Gabbard is licensed to practice in Ohio (license number SP.13490) 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 1851921464.

Contact Information

	Johannah Illeen Gabbard,
	4603 Timberwalk Ct, La Grange, KY 40031-6746
	(703) 575-8129
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Johannah Illeen Gabbard
Gender	Female
Speciality	Speech-language Pathologist
Location	4603 Timberwalk Ct, La Grange, Kentucky
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1851921464
Provider Enumeration Date: 01/22/2020
Last Update Date: 01/22/2020

Medicare PECOS Information:

PECOS PAC ID: 7214307800
Enrollment ID: I20221222001314

Medical Identifiers

Medical identifiers for Johannah Illeen Gabbard such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1851921464	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
235Z00000X	Speech-language Pathologist	SP.13490 (Ohio)	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. Johannah Illeen Gabbard allows following entities to bill medicare on her behalf.

Provider Name	Fox Rehabilitation Services Oh, Llc
Provider Type	Part B Supplier - Physical/occupational Therapy Group In Private Practice
Provider Identifiers	NPI Number: 1265968481 PECOS PAC ID: 1254698350 Enrollment ID: O20171128001417

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. Johannah Illeen Gabbard 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
Johannah Illeen Gabbard, 5226 Hunter Ave, Cincinnati, OH 45212-1425 Ph: () -	Johannah Illeen Gabbard, 4603 Timberwalk Ct, La Grange, KY 40031-6746 Ph: (703) 575-8129

Reviews and Comments

Speech-Language Pathologist in La Grange, KY

Marla Lantz, CCC-SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 4603 Timberwalk Ct, La Grange, KY 40031 Phone: 703-575-8129
Lyndsey Marie Macadam, MA, CCC-SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 4603 Timberwalk Ct, La Grange, KY 40031 Phone: 502-235-2428
Caroline Speed Dishman, Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 4603 Timberwalk Ct, La Grange, KY 40031 Phone: 703-575-8129
Kristie R. Cheek, M.S., CCC-SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 4603 Timberwalk Ct, La Grange, KY 40031 Phone: 703-864-6695
Emma Lichtefeld, Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 4603 Timberwalk Ct, La Grange, KY 40031 Phone: 502-939-3662
Mrs. Alexandria Jade Hayden, MS, CCC-SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 4603 Timberwalk Ct, La Grange, KY 40031 Phone: 703-864-6695 Fax: 888-830-3233
Cynthia Ann Smith, Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 4603 Timberwalk Ct, La Grange, KY 40031 Phone: 703-864-6695 Fax: 888-830-3233

Johannah Illeen Gabbard, - Medicare Speech-Language Pathologist in La Grange, KY