Mr Ethan Kristek, MS, CCC-SLP - Medicare Speech-Language Pathologist in Mount Vernon, MO

Mr Ethan Kristek, MS, CCC-SLP is a medicare enrolled "Speech-language Pathologist" provider in Mount Vernon, Missouri. His current practice location is 1600 S Hickory St, Mount Vernon, Missouri. You can reach out to his office (for appointments etc.) via phone at (417) 466-7103.

Mr Ethan Kristek is licensed to practice in Missouri (license number 2016020591) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1629420369.

Contact Information

Mr Ethan Kristek, MS, CCC-SLP
1600 S Hickory St,
Mount Vernon, MO 65712-2045
(417) 466-7103
Not Available

Map and Direction




Healthcare Provider's Profile

Full NameMr Ethan Kristek
GenderMale
SpecialitySpeech-language Pathologist
Location1600 S Hickory St, Mount Vernon, Missouri
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1629420369
  • Provider Enumeration Date: 07/06/2016
  • Last Update Date: 07/06/2016
  Medicare PECOS Information:
  • PECOS PAC ID: 3173912920
  • Enrollment ID: I20211116002241

Medical Identifiers

Medical identifiers for Mr Ethan Kristek such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1629420369NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
235Z00000XSpeech-language Pathologist 2016020591 (Missouri)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. Mr Ethan Kristek allows following entities to bill medicare on his behalf.
Provider NameEncore Rehabilitation Services Llc
Provider TypePart B Supplier - Clinic/group Practice
Provider IdentifiersNPI Number: 1336896240
PECOS PAC ID: 8123403904
Enrollment ID: O20221114000295

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. Mr Ethan Kristek 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 AddressPractice Location Address
Mr Ethan Kristek, MS, CCC-SLP
309 W Seminole St,
Springfield, MO 65807-2959

Ph: () -
Mr Ethan Kristek, MS, CCC-SLP
1600 S Hickory St,
Mount Vernon, MO 65712-2045

Ph: (417) 466-7103

Reviews and Comments


Speech-Language Pathologist in Mount Vernon, MO

Linda Collier, CF-SLP
Speech-Language Pathologist
Medicare: Not Enrolled in Medicare
Practice Location: 1600 S Hickory St, Mount Vernon, MO 65712
Phone: 417-466-7103    Fax: 417-466-4040
Ka Cheuk, M.S., CCC-SLP
Speech-Language Pathologist
Medicare: Medicare Enrolled
Practice Location: 1600 S Hickory St, Mount Vernon, MO 65712
Phone: 417-466-7103    
Mrs. Mary Elisabeth Aslin, M.A., CCC-SLP
Speech-Language Pathologist
Medicare: Not Enrolled in Medicare
Practice Location: 600 N. Main, Missouri Rehabilitation Center, Mount Vernon, MO 65712
Phone: 417-461-5323    
Ali Long,
Speech-Language Pathologist
Medicare: Not Enrolled in Medicare
Practice Location: 301 E Blaze Rd, Mount Vernon, MO 65712
Phone: 417-466-7512    
Billie Knipfer, SLP-CF
Speech-Language Pathologist
Medicare: Not Enrolled in Medicare
Practice Location: 1600 S Hickory St, Mount Vernon, MO 65712
Phone: 312-405-5677    
Mrs. Emily Renee Huey,
Speech-Language Pathologist
Medicare: Not Enrolled in Medicare
Practice Location: 1425 S Landrum St, Mount Vernon, MO 65712
Phone: 417-466-2260    

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Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

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