Kaeli Dieckert, in Queensbury, NY - Medicare Speech-Language Pathologist Provider

Kaeli Dieckert, is a medicare enrolled "Speech-language Pathologist" provider in Queensbury, New York. Her current practice location is 413 Bay Rd, Queensbury, New York. You can reach out to her office (for appointments etc.) via phone at (518) 761-2025.

Kaeli Dieckert is licensed to practice in New York (license number 026771-1) 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 1053834440.

Contact Information

	Kaeli Dieckert,
	413 Bay Rd, Queensbury, NY 12804-1408
	(518) 761-2025
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Kaeli Dieckert
Gender	Female
Speciality	Speech-language Pathologist
Location	413 Bay Rd, Queensbury, New York
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1053834440
Provider Enumeration Date: 07/18/2017
Last Update Date: 01/06/2020

Medicare PECOS Information:

PECOS PAC ID: 6305236027
Enrollment ID: I20211210001806

Medical Identifiers

Medical identifiers for Kaeli Dieckert such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1053834440	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
235Z00000X	Speech-language Pathologist	026771-1 (New York)	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. Kaeli Dieckert allows following entities to bill medicare on her behalf.

Provider Name	State Of New York Comptrollers Office
Provider Type	Part B Supplier - Clinic/group Practice
Provider Identifiers	NPI Number: 1750469912 PECOS PAC ID: 0840101770 Enrollment ID: O20190313000800

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. Kaeli Dieckert 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
Kaeli Dieckert, 413 Bay Rd, Queensbury, NY 12804-1408 Ph: () -	Kaeli Dieckert, 413 Bay Rd, Queensbury, NY 12804-1408 Ph: (518) 761-2025

Reviews and Comments

Speech-Language Pathologist in Queensbury, NY

.laura Angele West, M.S.,CCC-SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 18 Mcechron Ln, Queensbury, NY 12804 Phone: 518-744-4827
Leeanne A Sprague, Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 7 Big Bay Rd, Queensbury, NY 12804 Phone: 518-307-9188
Allyson M Reynolds, Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 413 Bay Rd, Queensbury, NY 12804 Phone: 518-761-2025
Kasey Treffiletti, M.S. ED Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 2 Country Club Rd, Queensbury, NY 12804 Phone: 518-926-2000
Alissa Marie Iantosca, CCC-SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 429 Aviation Rd, Queensbury, NY 12804 Phone: 518-824-2600
Ms. Theresa Marie Arcuri, CCC-SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 133 Aviation Rd, Queensbury, NY 12804 Phone: 518-798-0533 Fax: 518-761-9538

Kaeli Dieckert, - Medicare Speech-Language Pathologist in Queensbury, NY