Kelly Declark, - Medicare Speech-Language Pathologist in Holly, MI

Kelly Declark, is a medicare enrolled "Speech-language Pathologist" provider in Holly, Michigan. It graduated from medical school in 2026 and has 0 years of diverse experience with area of expertise as Qualified Speech Language Pathologist. It is a member of the group practice Level 11 Physical Therapy and their current practice location is 10483 Dixie Hwy, Holly, Michigan. You can reach out to their office (for appointments etc.) via phone at (810) 771-7686.

Kelly Declark is licensed to practice in Michigan (license number 7152001440) and it also participates in the medicare program. It accepts medicare assignments (which means it accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and their NPI Number is 1841124740.

Contact Information

Kelly Declark,
10483 Dixie Hwy,
Holly, MI 48442-9311
(810) 771-7686
Not Available

Map and Direction




Healthcare Provider's Profile

Full NameKelly Declark
GenderFacility
SpecialityQualified Speech Language Pathologist
Location10483 Dixie Hwy, Holly, Michigan
Accepts Medicare AssignmentsYes. It accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Kelly Declark graduated from medical school in 2026
  NPI Data:
  • NPI Number: 1841124740
  • Provider Enumeration Date: 06/09/2026
  • Last Update Date: 06/09/2026
  Medicare PECOS Information:
  • PECOS PAC ID: 5890250765
  • Enrollment ID: I20260721003614

Medical Identifiers

Medical identifiers for Kelly Declark such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1841124740NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
235Z00000XSpeech-language Pathologist 7152001440 (Michigan)Primary

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Level 11 Physical Therapy852710483523

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. Kelly Declark 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 AddressPractice Location Address
Kelly Declark,
10483 Dixie Hwy,
Holly, MI 48442-9311

Ph: (810) 771-7686
Kelly Declark,
10483 Dixie Hwy,
Holly, MI 48442-9311

Ph: (810) 771-7686

Reviews and Comments


Speech-Language Pathologist in Holly, MI

Michelle Maguire, SLP
Speech-Language Pathologist
Medicare: Not Enrolled in Medicare
Practice Location: 18180 Ottieway Ct, Holly, MI 48442
Phone: 610-248-5783    
Jenna Ann-vierk Slager, CCC-SLP
Speech-Language Pathologist
Medicare: Not Enrolled in Medicare
Practice Location: 354 Otter Run Rd, Holly, MI 48442
Phone: 810-834-2145    
Teresa Renee Finnigan,
Speech-Language Pathologist
Medicare: Accepting Medicare Assignments
Practice Location: 10483 Dixie Hwy, Holly, MI 48442
Phone: 810-771-7685    
Vanessa Tatton, MA CCC-SLP
Speech-Language Pathologist
Medicare: May Accept Medicare Assignments
Practice Location: 108 Clarence St, Holly, MI 48442
Phone: 248-459-0294    
Mrs. Renee Riefe,
Speech-Language Pathologist
Medicare: Not Enrolled in Medicare
Practice Location: 3231 Grange Hall Rd, Holly, MI 48442
Phone: 248-328-3700    
Dana Schell,
Speech-Language Pathologist
Medicare: Not Enrolled in Medicare
Practice Location: 8005 Tipsico Trl, Holly, MI 48442
Phone: 248-568-9608    
Kelly Evans,
Speech-Language Pathologist
Medicare: May Accept Medicare Assignments
Practice Location: 10483 Dixie Hwy, Holly, MI 48442
Phone: 810-771-7686    

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.