Mrs Keirsten L Underwood, MS CCC-SLP in Noble, OK - Medicare Speech-Language Pathologist Provider

Mrs Keirsten L Underwood, MS CCC-SLP is a medicare enrolled "Speech-language Pathologist" provider in Noble, Oklahoma. Her current practice location is 111 S 4th St, Noble, Oklahoma. You can reach out to her office (for appointments etc.) via phone at (405) 872-3452.

Mrs Keirsten L Underwood is licensed to practice in Oklahoma (license number 5550) 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 1205501806.

Contact Information

	Mrs Keirsten L Underwood, MS CCC-SLP
	111 S 4th St, Noble, OK 73068-9379
	(405) 872-3452
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Mrs Keirsten L Underwood
Gender	Female
Speciality	Speech-language Pathologist
Location	111 S 4th St, Noble, Oklahoma
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1205501806
Provider Enumeration Date: 08/16/2021
Last Update Date: 08/16/2021

Medicare PECOS Information:

PECOS PAC ID: 8820456619
Enrollment ID: I20230627001635

Medical Identifiers

Medical identifiers for Mrs Keirsten L Underwood such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1205501806	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
235Z00000X	Speech-language Pathologist	5550 (Oklahoma)	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 Keirsten L Underwood allows following entities to bill medicare on her behalf.

Provider Name	Powerback Rehabilitation Llc
Provider Type	Part B Supplier - Clinic/group Practice
Provider Identifiers	NPI Number: 1104320233 PECOS PAC ID: 2365359932 Enrollment ID: O20180702001261

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 Keirsten L Underwood 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 Keirsten L Underwood, MS CCC-SLP 111 S 4th St, Noble, OK 73068-9379 Ph: (405) 872-3452	Mrs Keirsten L Underwood, MS CCC-SLP 111 S 4th St, Noble, OK 73068-9379 Ph: (405) 872-3452

Reviews and Comments

Speech-Language Pathologist in Noble, OK

Kaitlyn Hunter, Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 111 S 4th St, Noble, OK 73068 Phone: 405-872-3452
Audry Jacks, M.A. CF-SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 1201 N 8th St, Noble, OK 73068 Phone: 405-872-3495
Suzanne K. Wells, Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 611 Ash St, Noble, OK 73068 Phone: 405-872-3472
Lola Williams, MA,CCC,SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 1250 Haley Cir, Noble, OK 73068 Phone: 405-872-0436
Cheryl Lynn Sanders, CCC-SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 111 S 4th St, Noble, OK 73068 Phone: 405-872-3452
Mrs. Debrah Ann Morris, SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 1501 N 8th St, Noble, OK 73068 Phone: 405-945-1925 Fax: 405-945-1925

Mrs Keirsten L Underwood, MS CCC-SLP - Medicare Speech-Language Pathologist in Noble, OK