Miss Regina Ann Provisiero, MA/CCC/SLP in Port Jefferson, NY - Medicare Speech-Language Pathologist Provider

Miss Regina Ann Provisiero, MA/CCC/SLP is a medicare enrolled "Speech-language Pathologist" provider in Port Jefferson, New York. Her current practice location is 220 Windward Ct N, Port Jefferson, New York. You can reach out to her office (for appointments etc.) via phone at (631) 525-7514.

Miss Regina Ann Provisiero is licensed to practice in New York (license number 58017705) 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 1457596207.

Contact Information

	Miss Regina Ann Provisiero, MA/CCC/SLP
	220 Windward Ct N, Port Jefferson, NY 11777-2323
	(631) 525-7514
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Miss Regina Ann Provisiero
Gender	Female
Speciality	Speech-language Pathologist
Location	220 Windward Ct N, Port Jefferson, New York
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1457596207
Provider Enumeration Date: 12/09/2008
Last Update Date: 12/09/2008

Medicare PECOS Information:

PECOS PAC ID: 0840660767
Enrollment ID: I20230110001165

Medical Identifiers

Medical identifiers for Miss Regina Ann Provisiero such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1457596207	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
235Z00000X	Speech-language Pathologist	58017705 (New York)	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. Miss Regina Ann Provisiero allows following entities to bill medicare on her behalf.

Provider Name	Sensory Solutions Of Long Island Inc
Provider Type	Part B Supplier - Clinic/group Practice
Provider Identifiers	NPI Number: 1700340973 PECOS PAC ID: 9931579851 Enrollment ID: O20230110001015

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. Miss Regina Ann Provisiero 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
Miss Regina Ann Provisiero, MA/CCC/SLP 220 Windward Ct N, Port Jefferson, NY 11777-2323 Ph: (631) 525-7514	Miss Regina Ann Provisiero, MA/CCC/SLP 220 Windward Ct N, Port Jefferson, NY 11777-2323 Ph: (631) 525-7514

Reviews and Comments

Speech-Language Pathologist in Port Jefferson, NY

Lauren Marie Berry, Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 550 Scraggy Hill Rd, Port Jefferson, NY 11777 Phone: 631-791-4500
Mrs. Heather Baron, MA CCC/SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 21 Sands Ln, Port Jefferson, NY 11777 Phone: 631-926-9855
Mary Elizabeth Guerrero, M.S, CCC-SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 85 Leeward Ct, Port Jefferson, NY 11777 Phone: 516-383-9143
Erin Michele Delio, Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 200 Belle Terre Rd, Port Jefferson, NY 11777 Phone: 631-474-6000
Ms. Perla Halegoua, M.A.,C.C.C. Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 1 Crescent Rd, Port Jefferson, NY 11777 Phone: 631-928-6199
Mrs. Beth Barnett, Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 5 Keewaydin Cir, Port Jefferson, NY 11777 Phone: 516-429-9516
Ms. Maureen J Buchanan, M.S. IN EDUCATION - Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 11 Princesstree Court, Port Jefferson, NY 11777 Phone: 631-473-6188

Miss Regina Ann Provisiero, MA/CCC/SLP - Medicare Speech-Language Pathologist in Port Jefferson, NY