Leticia Clark-olivero, in Everett, WA - Medicare Speech-Language Pathologist Provider

Leticia Clark-olivero, is a medicare enrolled "Speech-language Pathologist" provider in Everett, Washington. Her current practice location is 1919 112th St Sw, Everett, Washington. You can reach out to her office (for appointments etc.) via phone at (425) 513-1600.

Leticia Clark-olivero is licensed to practice in * (Not Available) (license number ) 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 1245977065.

Contact Information

	Leticia Clark-olivero,
	1919 112th St Sw, Everett, WA 98204-3784
	(425) 513-1600
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Leticia Clark-olivero
Gender	Female
Speciality	Speech-language Pathologist
Location	1919 112th St Sw, Everett, Washington
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1245977065
Provider Enumeration Date: 05/13/2022
Last Update Date: 05/13/2022

Medicare PECOS Information:

PECOS PAC ID: 8820475429
Enrollment ID: I20220520001364

Medical Identifiers

Medical identifiers for Leticia Clark-olivero such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1245977065	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
235Z00000X	Speech-language Pathologist	(* (Not Available))	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. Leticia Clark-olivero allows following entities to bill medicare on her behalf.

Provider Name	Nancy Johnson Speech & Language Ps
Provider Type	Part B Supplier - Clinic/group Practice
Provider Identifiers	NPI Number: 1396345401 PECOS PAC ID: 1153734389 Enrollment ID: O20210107002690

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. Leticia Clark-olivero 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
Leticia Clark-olivero, 3025 Ne 166th St, Lake Forest Park, WA 98155-5337 Ph: (206) 637-4658	Leticia Clark-olivero, 1919 112th St Sw, Everett, WA 98204-3784 Ph: (425) 513-1600

Reviews and Comments

Speech-Language Pathologist in Everett, WA

Clear Speech Inc Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 3602 Everett Ave, Everett, WA 98201 Phone: 425-259-7285 Fax: 425-259-6317
Ms. Leianne Wilk Flynn, M.A., CCC-SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 906 Se Everett Mall Way Ste 200, Everett, WA 98208 Phone: 425-353-5656 Fax: 425-513-0917
Kami Switzer, MS SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 906 Se Everett Mall Way Ste 200, Everett, WA 98208 Phone: 425-353-5656 Fax: 425-513-2807
Rita Kathryn Reitz, M.S. C.F.Y. - SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 906 Se Everett Mall Way Ste 200, Everett, WA 98208 Phone: 425-353-5656
Sarah Dedrick Kinsella, M.A. CCC-SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 4730 Colby Ave, Everett, WA 98203 Phone: 425-385-5259
Sonya-prajna Lasker, M.S., CCC/SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 9307 4th Ave W, Unit B, Everett, WA 98204 Phone: 425-280-7406
Allison R Hannan, CCC SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 4730 Colby Ave, Everett, WA 98203 Phone: 425-385-6815

Leticia Clark-olivero, - Medicare Speech-Language Pathologist in Everett, WA