Lara Kathryn Collicott, SPEECH PATHOLOGIST in Caribou, ME - Medicare Speech-Language Pathologist Provider

Lara Kathryn Collicott, SPEECH PATHOLOGIST is a medicare enrolled "Speech-language Pathologist" provider in Caribou, Maine. Her current practice location is 163 Van Buren Rd, Caribou, Maine. You can reach out to her office (for appointments etc.) via phone at (207) 498-3111.

Lara Kathryn Collicott is licensed to practice in Maine (license number 759) 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 1063625713.

Contact Information

	Lara Kathryn Collicott, SPEECH PATHOLOGIST
	163 Van Buren Rd, Caribou, ME 04736-3567
	(207) 498-3111
	(207) 498-1653

Map and Direction

Healthcare Provider's Profile

Full Name	Lara Kathryn Collicott
Gender	Female
Speciality	Speech-language Pathologist
Location	163 Van Buren Rd, Caribou, Maine
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1063625713
Provider Enumeration Date: 05/08/2007
Last Update Date: 12/30/2009

Medicare PECOS Information:

PECOS PAC ID: 8527479641
Enrollment ID: I20201122000031

Medical Identifiers

Medical identifiers for Lara Kathryn Collicott such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1063625713	NPI	-	NPPES
268080099	Medicaid	ME

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
235Z00000X	Speech-language Pathologist	759 (Maine)	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. Lara Kathryn Collicott allows following entities to bill medicare on her behalf.

Provider Name	City Of Caribou
Provider Type	Part B Supplier - Clinic/group Practice
Provider Identifiers	NPI Number: 1780615492 PECOS PAC ID: 6800707811 Enrollment ID: O20040619000020

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. Lara Kathryn Collicott 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
Lara Kathryn Collicott, SPEECH PATHOLOGIST 163 Van Buren Rd, Caribou, ME 04736-3567 Ph: (207) 498-3111	Lara Kathryn Collicott, SPEECH PATHOLOGIST 163 Van Buren Rd, Caribou, ME 04736-3567 Ph: (207) 498-3111

Reviews and Comments

Speech-Language Pathologist in Caribou, ME

Michelle Lugdon, M.S., CCC-SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 163 Van Buren Rd, Caribou, ME 04736 Phone: 207-498-1169
Aroostook Speech Associates, Inc. Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 181 W Presque Isle Rd, Caribou, ME 04736 Phone: 207-498-4019
Amanda Knox, Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 75 Glenn St, Caribou, ME 04736 Phone: 207-496-6311
Mrs. Rebecca Lynn Shea, MS, CCC-SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 713 Main St, Caribou, ME 04736 Phone: 207-493-3399 Fax: 207-493-3390
Danielle Griffeth, Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 19 Marshall Ave, Caribou, ME 04736 Phone: 207-493-4250
Circle Of Learning, Inc Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 1137 Presque Isle Road, Caribou, ME 04736 Phone: 207-493-3394 Fax: 207-493-3393

Lara Kathryn Collicott, SPEECH PATHOLOGIST - Medicare Speech-Language Pathologist in Caribou, ME