Mrs Jessica P Graham, MED CCC-SLP in Forsyth, GA - Medicare Speech-Language Pathologist Provider

Mrs Jessica P Graham, MED CCC-SLP is a medicare enrolled "Speech-language Pathologist" provider in Forsyth, Georgia. Her current practice location is 103 Kyndall Ln, Forsyth, Georgia. You can reach out to her office (for appointments etc.) via phone at (478) 955-1204.

Mrs Jessica P Graham is licensed to practice in Georgia (license number SLP009104) 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 1578339297.

Contact Information

	Mrs Jessica P Graham, MED CCC-SLP
	103 Kyndall Ln, Forsyth, GA 31029-8762
	(478) 955-1204
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Mrs Jessica P Graham
Gender	Female
Speciality	Speech-language Pathologist
Location	103 Kyndall Ln, Forsyth, Georgia
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1578339297
Provider Enumeration Date: 12/04/2023
Last Update Date: 12/13/2023

Medicare PECOS Information:

PECOS PAC ID: 1850731365
Enrollment ID: I20240501003135

Medical Identifiers

Medical identifiers for Mrs Jessica P Graham such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1578339297	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
235Z00000X	Speech-language Pathologist	SLP009104 (Georgia)	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 Jessica P Graham allows following entities to bill medicare on her behalf.

Provider Name	Forsyth Speech Therapy Llc
Provider Type	Part B Supplier - Clinic/group Practice
Provider Identifiers	NPI Number: 1083475560 PECOS PAC ID: 0941640452 Enrollment ID: O20240501002185

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 Jessica P Graham 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 Jessica P Graham, MED CCC-SLP 57 S Lee St, Forsyth, GA 31029-1700 Ph: (478) 955-1204	Mrs Jessica P Graham, MED CCC-SLP 103 Kyndall Ln, Forsyth, GA 31029-8762 Ph: (478) 955-1204

Reviews and Comments

Speech-Language Pathologist in Forsyth, GA

Elizabeth Hardy, SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 120 N Lee St Ste E, Forsyth, GA 31029 Phone: 478-994-3390 Fax: 478-845-6252
Mrs. Shannon Susanne Gonzalez, M.A., CCC-SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 215 Crescent Dr, Forsyth, GA 31029 Phone: 478-213-4604 Fax: 478-993-2035
Speechworks 4 Kids, Llc Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 215 Crescent Dr, Forsyth, GA 31029 Phone: 478-213-4604 Fax: 478-993-2035

Mrs Jessica P Graham, MED CCC-SLP - Medicare Speech-Language Pathologist in Forsyth, GA