Kelly Ciezczak, in Crown Point, IN - Medicare Speech-Language Pathologist Provider

Kelly Ciezczak, is a medicare enrolled "Speech-language Pathologist" provider in Crown Point, Indiana. Her current practice location is 966 Cherokee Ct, Crown Point, Indiana. You can reach out to her office (for appointments etc.) via phone at (219) 671-0623.

Kelly Ciezczak is licensed to practice in Massachusetts (license number SP-9837-SL) 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 1326593732.

Contact Information

	Kelly Ciezczak,
	966 Cherokee Ct, Crown Point, IN 46307-4613
	(219) 671-0623
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Kelly Ciezczak
Gender	Female
Speciality	Speech-language Pathologist
Location	966 Cherokee Ct, Crown Point, Indiana
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1326593732
Provider Enumeration Date: 08/16/2016
Last Update Date: 03/24/2025

Medicare PECOS Information:

PECOS PAC ID: 4385168855
Enrollment ID: I20250404003298

Medical Identifiers

Medical identifiers for Kelly Ciezczak such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1326593732	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
235Z00000X	Speech-language Pathologist	22006267A (Indiana)	Secondary
235Z00000X	Speech-language Pathologist	11718 (North Carolina)	Secondary
235Z00000X	Speech-language Pathologist	SP-9837-SL (Massachusetts)	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. Kelly Ciezczak allows following entities to bill medicare on her behalf.

Provider Name	Empowerme Rehabilitation Illinois Llc
Provider Type	Part B Supplier - Physical/occupational Therapy Group In Private Practice
Provider Identifiers	NPI Number: 1023618956 PECOS PAC ID: 2365718277 Enrollment ID: O20201124002932

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 Ciezczak 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
Kelly Ciezczak, 966 Cherokee Ct, Crown Point, IN 46307-4613 Ph: (219) 671-0623	Kelly Ciezczak, 966 Cherokee Ct, Crown Point, IN 46307-4613 Ph: (219) 671-0623

Reviews and Comments

Speech-Language Pathologist in Crown Point, IN

Pediatric Speech And Language Therapy, Llc Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 1100 Allison St, Crown Point, IN 46307 Phone: 219-743-3302 Fax: 219-661-0470
Melissa Drapac, Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 5201 Fountain Dr, Suite D, Crown Point, IN 46307 Phone: 219-796-9335 Fax: 219-796-9336
Mrs. Katherine Frances Wolfer, M.S. Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 9770 Grant Pl, Crown Point, IN 46307 Phone: 219-662-0677
Deborah Maureen Meyers, MHSCCCSLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 8616 Wheeler Pl, Crown Point, IN 46307 Phone: 219-741-4968 Fax: 219-365-2132
Tameka Malone, MS CCC-SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 9547 Luebcke Ln, Crown Point, IN 46307 Phone: 702-588-0958
Kendra Mays, Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 119 N Indiana Ave, Crown Point, IN 46307 Phone: 219-663-2532
Speech Pathology Associates Llc Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 5521 W Lincoln Hwy, Suite 100, Crown Point, IN 46307 Phone: 219-756-6100 Fax: 219-756-6111

Kelly Ciezczak, - Medicare Speech-Language Pathologist in Crown Point, IN