Katelynn Harris, CCC-SLP in Portland, MI - Medicare Speech-Language Pathologist Provider

Katelynn Harris, CCC-SLP is a medicare enrolled "Speech-language Pathologist" provider in Portland, Michigan. Her current practice location is 9751 E Grand River Ave Ste 1, Portland, Michigan. You can reach out to her office (for appointments etc.) via phone at (517) 376-3650.

Katelynn Harris is licensed to practice in Michigan (license number 7101008825) 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 1104519974.

Contact Information

	Katelynn Harris, CCC-SLP
	9751 E Grand River Ave Ste 1, Portland, MI 48875-9802
	(517) 376-3650
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Katelynn Harris
Gender	Female
Speciality	Speech-language Pathologist
Location	9751 E Grand River Ave Ste 1, Portland, Michigan
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1104519974
Provider Enumeration Date: 05/30/2023
Last Update Date: 03/19/2024

Medicare PECOS Information:

PECOS PAC ID: 0345687307
Enrollment ID: I20240326002367

Medical Identifiers

Medical identifiers for Katelynn Harris such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1104519974	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
235Z00000X	Speech-language Pathologist	7152000643 (Michigan)	Secondary
235Z00000X	Speech-language Pathologist	7101008825 (Michigan)	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. Katelynn Harris allows following entities to bill medicare on her behalf.

Provider Name	Ivyrehab Michigan Llc
Provider Type	Part B Supplier - Physical/occupational Therapy Group In Private Practice
Provider Identifiers	NPI Number: 1104337120 PECOS PAC ID: 6901165893 Enrollment ID: O20180123001245

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. Katelynn Harris 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
Katelynn Harris, CCC-SLP Po Box 412031, Boston, MA 02241-2031 Ph: () -	Katelynn Harris, CCC-SLP 9751 E Grand River Ave Ste 1, Portland, MI 48875-9802 Ph: (517) 376-3650

Reviews and Comments

Speech-Language Pathologist in Portland, MI

Curt Schneider, CCC-SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 7522 Emery Rd, Portland, MI 48875 Phone: 616-990-7494
Molly Kathryn Puglessi, Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 9751 E Grand River Ave Ste 1, Portland, MI 48875 Phone: 517-376-3650
Mrs. Gretchen Findlay, M.A. Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 1330 E. Grand River Ave., Suite B, Portland, MI 48875 Phone: 517-647-4327 Fax: 517-647-2442
Katelynn Lucille Farr, MA CF-SLP Speech-Language Pathologist Medicare: Medicare Enrolled Practice Location: 9751 E Grand River Ave Ste 1, Portland, MI 48875 Phone: 517-376-3650

Katelynn Harris, CCC-SLP - Medicare Speech-Language Pathologist in Portland, MI