Kashala Smith-tavaris, MS CCC-SLP in Fairfield, CT - Medicare Speech-Language Pathologist Provider

Kashala Smith-tavaris, MS CCC-SLP is a medicare enrolled "Speech-language Pathologist" provider in Fairfield, Connecticut. Her current practice location is 60 Katona Dr Ste 24, Fairfield, Connecticut. You can reach out to her office (for appointments etc.) via phone at (203) 576-0142.

Kashala Smith-tavaris is licensed to practice in Connecticut (license number 003820) 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 1225669856.

Contact Information

	Kashala Smith-tavaris, MS CCC-SLP
	60 Katona Dr Ste 24, Fairfield, CT 06824-3544
	(203) 576-0142
	(866) 608-3856

Map and Direction

Healthcare Provider's Profile

Full Name	Kashala Smith-tavaris
Gender	Female
Speciality	Speech-language Pathologist
Location	60 Katona Dr Ste 24, Fairfield, Connecticut
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1225669856
Provider Enumeration Date: 02/02/2020
Last Update Date: 08/27/2020

Medicare PECOS Information:

PECOS PAC ID: 7517377211
Enrollment ID: I20201109002561

Medical Identifiers

Medical identifiers for Kashala Smith-tavaris such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1225669856	NPI	-	NPPES
003820	Other	CT	CT LICENSE IN SPEECH LANGUAGE PATHOLOGY

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
235Z00000X	Speech-language Pathologist	003820 (Connecticut)	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. Kashala Smith-tavaris allows following entities to bill medicare on her behalf.

Provider Name	Yale University
Provider Type	Part B Supplier - Clinic/group Practice
Provider Identifiers	NPI Number: 1205822236 PECOS PAC ID: 9436061736 Enrollment ID: O20031105000015

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. Kashala Smith-tavaris 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
Kashala Smith-tavaris, MS CCC-SLP 60 Katona Dr Ste 24, Fairfield, CT 06824-3544 Ph: (203) 567-0142	Kashala Smith-tavaris, MS CCC-SLP 60 Katona Dr Ste 24, Fairfield, CT 06824-3544 Ph: (203) 576-0142

Reviews and Comments

Speech-Language Pathologist in Fairfield, CT

Mrs. Amanda Bean, SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 1300 Post Rd Ste 204, Fairfield, CT 06824 Phone: 203-255-3669
Caroline Marie Murphy, SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 2228 Black Rock Tpke Ste 201, Fairfield, CT 06825 Phone: 203-908-4433 Fax: 203-908-4449
Mrs. Carol Landsman, M.A. Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 1931 Black Rock Tpke, Fairfield, CT 06825 Phone: 203-384-8681 Fax: 203-384-0722
Kaitlyn Boorin, Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 55 Walls Dr Ste 204, Fairfield, CT 06824 Phone: 203-255-3669
Carla Larracuente, Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 1300 Post Rd, Suite 204, Fairfield, CT 06824 Phone: 203-255-3669 Fax: 203-255-1173
Taylor Bird, MS CCC-SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 1931 Black Rock Tpke, Fairfield, CT 06825 Phone: 203-384-8681 Fax: 203-384-0722
Kathleen Istvan, SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 1931 Black Rock Tpke, Fairfield, CT 06825 Phone: 203-384-8681 Fax: 203-384-0722

Kashala Smith-tavaris, MS CCC-SLP - Medicare Speech-Language Pathologist in Fairfield, CT