Judith Defoor, CCC-SLP in Greenville, SC - Medicare Speech-Language Pathologist Provider

Judith Defoor, CCC-SLP is a medicare enrolled "Speech-language Pathologist" provider in Greenville, South Carolina. Her current practice location is 1 Doctors Dr, Greenville, South Carolina. You can reach out to her office (for appointments etc.) via phone at (864) 572-7001.

Judith Defoor is licensed to practice in South Carolina (license number 7751) 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 1194551986.

Contact Information

	Judith Defoor, CCC-SLP
	1 Doctors Dr, Greenville, SC 29605-4266
	(864) 572-7001
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Judith Defoor
Gender	Female
Speciality	Speech-language Pathologist
Location	1 Doctors Dr, Greenville, South Carolina
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1194551986
Provider Enumeration Date: 09/10/2024
Last Update Date: 09/10/2024

Medicare PECOS Information:

PECOS PAC ID: 1951822881
Enrollment ID: I20250307003511

Medical Identifiers

Medical identifiers for Judith Defoor such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1194551986	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
235Z00000X	Speech-language Pathologist	7751 (South 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. Judith Defoor allows following entities to bill medicare on her behalf.

Provider Name	Privia Medical Group South Carolina, Llc
Provider Type	Part B Supplier - Clinic/group Practice
Provider Identifiers	NPI Number: 1649875816 PECOS PAC ID: 5395158653 Enrollment ID: O20210105001174

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. Judith Defoor 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
Judith Defoor, CCC-SLP 5309 Wiley Dr, Simpsonville, SC 29680-6493 Ph: (803) 622-6867	Judith Defoor, CCC-SLP 1 Doctors Dr, Greenville, SC 29605-4266 Ph: (864) 572-7001

Reviews and Comments

Speech-Language Pathologist in Greenville, SC

Kaitlyn Ashley Fencik, M.A. CF-SLP Speech-Language Pathologist Medicare: Medicare Enrolled Practice Location: 343 Prado Way, Greenville, SC 29607 Phone: 732-608-4098
Holly Koch, CCC-SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 29 N Academy St, Greenville, SC 29601 Phone: 864-331-1350
Mrs. Mary Carolyn Gilkinson, MSR, SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 29 N Academy St, Greenville, SC 29601 Phone: 864-331-1380
Andrea L. Murdock, S.L.P. Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 29 N Academy St, Greenville, SC 29601 Phone: 864-331-1350
Kyler Meredith Evans, CCC-SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 35 Brendan Way, Greenville, SC 29615 Phone: 864-775-6685 Fax: 864-551-4440
Olivia Catherine Bair, Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 2 Griffith Rd, Greenville, SC 29607 Phone: 864-990-1918
Kaley Sanford Jennings, MSP, CCC-SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 1900 Augusta St, Greenville, SC 29605 Phone: 864-370-0131

Judith Defoor, CCC-SLP - Medicare Speech-Language Pathologist in Greenville, SC