Katherine Shields, MA, CCC-SLP in Peru, IN - Medicare Speech-Language Pathologist Provider

Katherine Shields, MA, CCC-SLP is a medicare enrolled "Speech-language Pathologist" provider in Peru, Indiana. Her current practice location is 2 Broadway Plz, Peru, Indiana. You can reach out to her office (for appointments etc.) via phone at (765) 753-8829.

Katherine Shields is licensed to practice in Indiana (license number 22008410A) 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 1780400143.

Contact Information

	Katherine Shields, MA, CCC-SLP
	2 Broadway Plz, Peru, IN 46970-1052
	(765) 753-8829
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Katherine Shields
Gender	Female
Speciality	Speech-language Pathologist
Location	2 Broadway Plz, Peru, Indiana
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1780400143
Provider Enumeration Date: 12/02/2024
Last Update Date: 12/02/2024

Medicare PECOS Information:

PECOS PAC ID: 0345770020
Enrollment ID: I20250211000834

Medical Identifiers

Medical identifiers for Katherine Shields such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1780400143	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
235Z00000X	Speech-language Pathologist	22008410A (Indiana)	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. Katherine Shields allows following entities to bill medicare on her behalf.

Provider Name	Ivyrehab Physical Therapy Pllc
Provider Type	Part B Supplier - Physical/occupational Therapy Group In Private Practice
Provider Identifiers	NPI Number: 1750764494 PECOS PAC ID: 7012997638 Enrollment ID: O20151211000959

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. Katherine Shields 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
Katherine Shields, MA, CCC-SLP 2511 Locust Ln, Kokomo, IN 46902-2955 Ph: () -	Katherine Shields, MA, CCC-SLP 2 Broadway Plz, Peru, IN 46970-1052 Ph: (765) 753-8829

Reviews and Comments

Speech-Language Pathologist in Peru, IN

Joy M Coon Smith, SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 105 S Benton St, Peru, IN 46970 Phone: 765-473-6744 Fax: 765-472-6058
Christa Nicole Kern, M.A., CCC-SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 565 E 2nd St, Peru, IN 46970 Phone: 765-469-3337
Chatterbox Speech Therapy Llc Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 565 E 2nd St, Peru, IN 46970 Phone: 765-469-3337
Joline Alexander, M.A., CCC-SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 1850 W Matador St, Peru, IN 46970 Phone: 765-689-5000
Rebecca Harrell-bishir, M.A. CCC-SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 1332 N Raccoon Hill Rd, Peru, IN 46970 Phone: 765-460-7645
Ms. Tiffani Lyn Wallace, MA, CCC-SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 1642 Warhawk Rd, Peru, IN 46970 Phone: 765-689-9363

Katherine Shields, MA, CCC-SLP - Medicare Speech-Language Pathologist in Peru, IN