Mrs Dortheen Douglas Wade, MS, CCC-SLP in Olive Branch, MS - Medicare Speech-Language Pathologist Provider

Mrs Dortheen Douglas Wade, MS, CCC-SLP is a medicare enrolled "Speech-language Pathologist" provider in Olive Branch, Mississippi. Her current practice location is 7305 Green Ash Dr, Olive Branch, Mississippi. You can reach out to her office (for appointments etc.) via phone at (901) 870-7997.

Mrs Dortheen Douglas Wade is licensed to practice in Tennessee (license number 0000003190) 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 1932403078.

Contact Information

	Mrs Dortheen Douglas Wade, MS, CCC-SLP
	7305 Green Ash Dr, Olive Branch, MS 38654-4383
	(901) 870-7997
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Mrs Dortheen Douglas Wade
Gender	Female
Speciality	Speech-language Pathologist
Location	7305 Green Ash Dr, Olive Branch, Mississippi
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1932403078
Provider Enumeration Date: 01/04/2011
Last Update Date: 01/04/2011

Medicare PECOS Information:

PECOS PAC ID: 9830463991
Enrollment ID: I20170928000614

Medical Identifiers

Medical identifiers for Mrs Dortheen Douglas Wade such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1932403078	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
235Z00000X	Speech-language Pathologist	0000003190 (Tennessee)	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. Mrs Dortheen Douglas Wade allows following entities to bill medicare on her behalf.

Provider Name	A Plus Therapy Group
Provider Type	Part B Supplier - Clinic/group Practice
Provider Identifiers	NPI Number: 1235817255 PECOS PAC ID: 3173051828 Enrollment ID: O20250109001699

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. Mrs Dortheen Douglas Wade 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
Mrs Dortheen Douglas Wade, MS, CCC-SLP 7305 Green Ash Dr, Olive Branch, MS 38654-4383 Ph: (901) 870-7997	Mrs Dortheen Douglas Wade, MS, CCC-SLP 7305 Green Ash Dr, Olive Branch, MS 38654-4383 Ph: (901) 870-7997

Reviews and Comments

Speech-Language Pathologist in Olive Branch, MS

Mrs. Stacey Leigh Mathis, MS,CCC-SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 5600 Goodman Rd Ste D, Olive Branch, MS 38654 Phone: 662-895-4545 Fax: 662-895-4546
Bianca Sade Moss, ST Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 12857 Arbor Dr, Olive Branch, MS 38654 Phone: 901-857-6566
Cts,llc Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 7579 Wisteria Dr, Olive Branch, MS 38654 Phone: 662-874-6729 Fax: 662-874-6727
Pamela Houze-evans, M.S. CCC-SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 5797 Burlington Ln, Olive Branch, MS 38654 Phone: 662-910-7397 Fax: 662-890-4581
Robin Van Nortwick, MA, CCC-SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 4250 Bethel Rd, Olive Branch, MS 38654 Phone: 662-932-9225
Maria Luciano Miranda, Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 6361 Braybourne Pl, Olive Branch, MS 38654 Phone: 901-767-1040
A Plus Therapy Group Speech-Language Pathologist Medicare: Medicare Enrolled Practice Location: 10840 Desoto Rd, Suite 102 & 104, Olive Branch, MS 38654 Phone: 901-870-7997

Mrs Dortheen Douglas Wade, MS, CCC-SLP - Medicare Speech-Language Pathologist in Olive Branch, MS