Kailee Fairclough, in Dallas, TX - Medicare Speech-Language Pathologist Provider

Kailee Fairclough, is a medicare enrolled "Speech-language Pathologist" provider in Dallas, Texas. Her current practice location is 4205 W Northwest Hwy, Dallas, Texas. You can reach out to her office (for appointments etc.) via phone at (214) 357-7900.

Kailee Fairclough is licensed to practice in Texas (license number 119961) 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 1093509713.

Contact Information

	Kailee Fairclough,
	4205 W Northwest Hwy, Dallas, TX 75220-7802
	(214) 357-7900
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Kailee Fairclough
Gender	Female
Speciality	Speech-language Pathologist
Location	4205 W Northwest Hwy, Dallas, Texas
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1093509713
Provider Enumeration Date: 04/07/2025
Last Update Date: 04/07/2025

Medicare PECOS Information:

PECOS PAC ID: 4688199508
Enrollment ID: I20250423000948

Medical Identifiers

Medical identifiers for Kailee Fairclough such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1093509713	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
235Z00000X	Speech-language Pathologist	119961 (Texas)	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. Kailee Fairclough allows following entities to bill medicare on her behalf.

Provider Name	Empowerme Rehabilitation Llc
Provider Type	Part B Supplier - Physical/occupational Therapy Group In Private Practice
Provider Identifiers	NPI Number: 1255900296 PECOS PAC ID: 2769723162 Enrollment ID: O20211006001271

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. Kailee Fairclough 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
Kailee Fairclough, 13329 Fall Manor Dr, Dallas, TX 75243-2431 Ph: (785) 592-1120	Kailee Fairclough, 4205 W Northwest Hwy, Dallas, TX 75220-7802 Ph: (214) 357-7900

Reviews and Comments

Speech-Language Pathologist in Dallas, TX

Mrs. Stephanie Ann Ryer, MS/CCC-SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 2428 Bahama Dr, Dallas, TX 75211 Phone: 214-948-3811
Dr. Emily A. Tobey, PH.D. Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 1966 Inwood Rd., Dallas, TX 75235 Phone: 214-905-3010 Fax: 214-905-3022
Mrs. Mary Kay Giesecke, MS-CCC-SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 3205 Cornell Ave, Dallas, TX 75205 Phone: 214-505-5041 Fax: 214-522-9777
Patricia Maria Torres, SLPA Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 12270 Coit Rd. #870, Dallas, TX 75251 Phone: 214-677-7649
Tanya Santos, SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 14160 Dallas Pkwy Ste 415, Dallas, TX 75254 Phone: 972-385-0006
Kasey Rehme, Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 7777 Forest Ln, Dallas, TX 75230 Phone: 972-566-7000
Kesha Nacole Boyles, Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 14651 Dallas Pkwy Ste 200, Dallas, TX 75254 Phone: 866-919-3240

Kailee Fairclough, - Medicare Speech-Language Pathologist in Dallas, TX