Merrie G Pendergrass, SLP in Shreveport, LA - Medicare Speech-Language Pathologist Provider

Merrie G Pendergrass, SLP is a medicare enrolled "Speech-language Pathologist" provider in Shreveport, Louisiana. Her current practice location is 3730 Blair Dr, Lsuhsc-school Of Allied Health Professionals, Shreveport, Louisiana. You can reach out to her office (for appointments etc.) via phone at (318) 632-2030.

Merrie G Pendergrass 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 1063435451.

Contact Information

	Merrie G Pendergrass, SLP
	3730 Blair Dr, Lsuhsc-school Of Allied Health Professionals, Shreveport, LA 71103-4602
	(318) 632-2030
	(318) 675-5666

Map and Direction

Healthcare Provider's Profile

Full Name	Merrie G Pendergrass
Gender	Female
Speciality	Speech-language Pathologist
Location	3730 Blair Dr, Shreveport, Louisiana
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1063435451
Provider Enumeration Date: 07/26/2006
Last Update Date: 07/09/2007

Medicare PECOS Information:

PECOS PAC ID: 6608127428
Enrollment ID: I20180918002585

Medical Identifiers

Medical identifiers for Merrie G Pendergrass such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1063435451	NPI	-	NPPES
1174173	Medicaid	LA

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. Merrie G Pendergrass allows following entities to bill medicare on her behalf.

Provider Name	Lsu Health Sciences Center Shreveport Faculty Group Practice
Provider Type	Part B Supplier - Clinic/group Practice
Provider Identifiers	NPI Number: 1013374222 PECOS PAC ID: 4082902721 Enrollment ID: O20161012000307

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. Merrie G Pendergrass 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
Merrie G Pendergrass, SLP 3730 Blair Dr, Lsuhsc-school Of Allied Health Professionals, Shreveport, LA 71103-4602 Ph: (318) 632-2030	Merrie G Pendergrass, SLP 3730 Blair Dr, Lsuhsc-school Of Allied Health Professionals, Shreveport, LA 71103-4602 Ph: (318) 632-2030

Reviews and Comments

Speech-Language Pathologist in Shreveport, LA

Elinor Dorsey Baker, Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 2226 Murphy St, Shreveport, LA 71103 Phone: 985-630-4052
Elizabeth Schafehen, SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 1800 Buckner St Ste C249, Shreveport, LA 71101 Phone: 318-934-1969 Fax: 318-934-1960
Mrs. Susan Elizabeth Zavalydriga, MA, CCC-SP. Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 405 N Dresden Cir, Shreveport, LA 71115 Phone: 318-798-3925
Sara Kate Warren, Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 2522 E 70th St., Shreveport, LA 71105 Phone: 318-795-3388
Macy Floyd, MCD, CF-SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 2226 Murphy St, Shreveport, LA 71103 Phone: 318-603-6700
Joan Williams, SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 5609 Cross Timbers Dr, Shreveport, LA 71129 Phone: 318-670-9710 Fax: 318-227-9142
Mrs. Kelsey Bazzell Rowell, MCD, CCC-SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 7709 Tampa Way, Shreveport, LA 71105 Phone: 318-415-9298

Merrie G Pendergrass, SLP - Medicare Speech-Language Pathologist in Shreveport, LA