Mr Kevin Blaine Lathrop, MS, CCC-SLP is a medicare enrolled "Speech-language Pathologist" provider in Rocky Hill, Connecticut. His current practice location is
2 Knoll Ln, Rocky Hill, Connecticut. You can reach out to his office (for appointments etc.) via phone at
(860) 836-3317.
Mr Kevin Blaine Lathrop is licensed to practice in Connecticut (license number 003261) 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 1356550255.
Healthcare Provider's Profile
| Full Name | Mr Kevin Blaine Lathrop |
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| Gender | Male |
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| Speciality | Speech-language Pathologist |
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| Location | 2 Knoll Ln, Rocky Hill, Connecticut |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
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NPI Data:
- NPI Number: 1356550255
- Provider Enumeration Date: 05/21/2007
- Last Update Date: 07/08/2007
Medicare PECOS Information:
- PECOS PAC ID: 4880046994
- Enrollment ID: I20240113000410
Medical Identifiers
Medical identifiers for Mr Kevin Blaine Lathrop such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1356550255 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 235Z00000X | Speech-language Pathologist | 003261 (Connecticut) | 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 Kevin Blaine Lathrop allows following entities to bill medicare on his behalf.
| Provider Name | Healthpro Heritage Rehab & Fitness Llc |
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| Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
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| Provider Identifiers | NPI Number: 1376038646
PECOS PAC ID: 6507832573
Enrollment ID: O20180814003062 |
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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 Kevin Blaine Lathrop 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 |
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Mr Kevin Blaine Lathrop, MS, CCC-SLP
2 Knoll Ln,
Rocky Hill, CT 06067-4241
Ph: (860) 836-3317 | Mr Kevin Blaine Lathrop, MS, CCC-SLP
2 Knoll Ln,
Rocky Hill, CT 06067-4241
Ph: (860) 836-3317 |
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