Kelsey R Wisdom, MS, CCC-SLP in Grove, OK - Medicare Speech-Language Pathologist Provider

Kelsey R Wisdom, MS, CCC-SLP is a medicare enrolled "Speech-language Pathologist" provider in Grove, Oklahoma. Her current practice location is 2106 S Main St, Grove, Oklahoma. You can reach out to her office (for appointments etc.) via phone at (918) 964-7025.

Kelsey R Wisdom is licensed to practice in Oklahoma (license number 5204) 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 1245871482.

Contact Information

	Kelsey R Wisdom, MS, CCC-SLP
	2106 S Main St, Grove, OK 74344-5356
	(918) 964-7025
	(918) 964-7024

Map and Direction

Healthcare Provider's Profile

Full Name	Kelsey R Wisdom
Gender	Female
Speciality	Speech-language Pathologist
Location	2106 S Main St, Grove, Oklahoma
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1245871482
Provider Enumeration Date: 09/30/2019
Last Update Date: 09/30/2019

Medicare PECOS Information:

PECOS PAC ID: 0345661161
Enrollment ID: I20200603002922

Medical Identifiers

Medical identifiers for Kelsey R Wisdom such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1245871482	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
235Z00000X	Speech-language Pathologist	5204 (Oklahoma)	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. Kelsey R Wisdom allows following entities to bill medicare on her behalf.

Provider Name	Neo Orthopedic And Rehabilitation Llc
Provider Type	Part B Supplier - Physical/occupational Therapy Group In Private Practice
Provider Identifiers	NPI Number: 1720153638 PECOS PAC ID: 4981941291 Enrollment ID: O20190124002060

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. Kelsey R Wisdom 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
Kelsey R Wisdom, MS, CCC-SLP 2106 S Main St, Grove, OK 74344-5356 Ph: (918) 964-7025	Kelsey R Wisdom, MS, CCC-SLP 2106 S Main St, Grove, OK 74344-5356 Ph: (918) 964-7025

Reviews and Comments

Speech-Language Pathologist in Grove, OK

Danielle Decker, Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 825 E 3rd St, Grove, OK 74344 Phone: 918-964-7025 Fax: 918-964-7024
Gynna Elise Thompson, M.A. CCC-SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 310 S Broadway St, Grove, OK 74344 Phone: 918-786-3003 Fax: 918-787-2004
Ms. Samantha Lane, SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 1046 Hillside Road, Grove, OK 74344 Phone: 918-801-8681
Mrs. Felicia Jo Brecheisen, M.S, CF-SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 825 E 3rd St, Grove, OK 74344 Phone: 918-964-1921
Mrs. Andra Renee Mitchell, MS, CCC-SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 825 E Third Street, Grove, OK 74344 Phone: 918-964-7025
Brittni Jernigan, Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 825 E 3rd St, Grove, OK 74344 Phone: 918-527-1132

Kelsey R Wisdom, MS, CCC-SLP - Medicare Speech-Language Pathologist in Grove, OK