Madison Blaylock, in San Diego, CA - Medicare Speech-Language Pathologist Provider

Madison Blaylock, is a medicare enrolled "Speech-language Pathologist" provider in San Diego, California. Her current practice location is 3760 Convoy St Ste 204, San Diego, California. You can reach out to her office (for appointments etc.) via phone at (858) 514-0375.

Madison Blaylock 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 1184211708.

Contact Information

	Madison Blaylock,
	3760 Convoy St Ste 204, San Diego, CA 92111-3744
	(858) 514-0375
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Madison Blaylock
Gender	Female
Speciality	Speech-language Pathologist
Location	3760 Convoy St Ste 204, San Diego, California
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1184211708
Provider Enumeration Date: 12/29/2020
Last Update Date: 12/29/2020

Medicare PECOS Information:

PECOS PAC ID: 9638583495
Enrollment ID: I20210208000301

Medical Identifiers

Medical identifiers for Madison Blaylock such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1184211708	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. Madison Blaylock allows following entities to bill medicare on her behalf.

Provider Name	Bewell Home Physical Therapy P C
Provider Type	Part B Supplier - Clinic/group Practice
Provider Identifiers	NPI Number: 1831582592 PECOS PAC ID: 9335460351 Enrollment ID: O20150603000343

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. Madison Blaylock 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
Madison Blaylock, 1330 Connecticut St, Imperial Beach, CA 91932-3224 Ph: () -	Madison Blaylock, 3760 Convoy St Ste 204, San Diego, CA 92111-3744 Ph: (858) 514-0375

Reviews and Comments

Speech-Language Pathologist in San Diego, CA

Alice Dunlap, Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 4431 32nd St Unit 12, Unit #12, San Diego, CA 92116 Phone: 760-685-2268
Miss Deanna Joy Dickinson, M.A., CCC-SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 3350 La Jolla Village Dr, San Diego, CA 92161 Phone: 858-552-7564
Limitless Speech And Language Therapy P.c. Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 1049 Emerald St Apt C, San Diego, CA 92109 Phone: 949-689-9282
Katharine Meissner, Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 11137 Carlota St, San Diego, CA 92129 Phone: 858-663-4565
Carrie Chouinard, Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 7836 Mission Montana Pl, San Diego, CA 92120 Phone: 619-347-5971
Faye Marie Vieyra, MACCCSLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 500 W Harbor Dr Unit 424, San Diego, CA 92101 Phone: 619-793-5066 Fax: 866-316-2996
Lori Mccurdy, M.S., CCC-SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 3020 Childrens Way, Mc5010, San Diego, CA 92123 Phone: 858-968-5838

Madison Blaylock, - Medicare Speech-Language Pathologist in San Diego, CA