Mrs Kimberly Marie Douglas, in Chandler, AZ - Medicare Speech-Language Pathologist Provider

Mrs Kimberly Marie Douglas, is a medicare enrolled "Speech-language Pathologist" provider in Chandler, Arizona. Her current practice location is 1625 W Geronimo St, Chandler, Arizona. You can reach out to her office (for appointments etc.) via phone at (480) 782-0572.

Mrs Kimberly Marie Douglas is licensed to practice in Arizona (license number SLPL5190) 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 1609941962.

Contact Information

	Mrs Kimberly Marie Douglas,
	1625 W Geronimo St, Chandler, AZ 85224-5616
	(480) 782-0572
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Mrs Kimberly Marie Douglas
Gender	Female
Speciality	Speech-language Pathologist
Location	1625 W Geronimo St, Chandler, Arizona
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1609941962
Provider Enumeration Date: 11/22/2006
Last Update Date: 07/08/2007

Medicare PECOS Information:

PECOS PAC ID: 5092974055
Enrollment ID: I20120309000618

Medical Identifiers

Medical identifiers for Mrs Kimberly Marie Douglas such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1609941962	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
235Z00000X	Speech-language Pathologist	SLPL5190 (Arizona)	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 Kimberly Marie Douglas allows following entities to bill medicare on her behalf.

Provider Name	Theraplay4kidz, Llc
Provider Type	Part B Supplier - Clinic/group Practice
Provider Identifiers	NPI Number: 1750727798 PECOS PAC ID: 3476823972 Enrollment ID: O20190321000727

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 Kimberly Marie Douglas 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 Kimberly Marie Douglas, 1625 West Geronimo Street, Chandler, AZ 85224 Ph: (480) 782-0572	Mrs Kimberly Marie Douglas, 1625 W Geronimo St, Chandler, AZ 85224-5616 Ph: (480) 782-0572

Reviews and Comments

Speech-Language Pathologist in Chandler, AZ

Ms. Heather Marie Liu, Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 6543 S Teresa Dr, Chandler, AZ 85249 Phone: 480-329-7600
Allison Dawn Smith, MS CCC SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 815 E Warner Rd, Suite 106, Chandler, AZ 85225 Phone: 480-963-5800 Fax: 480-963-5805
Miss Demaurice Jiana Basile, M.S., CCC-SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 1525 W Frye Rd, Chandler, AZ 85224 Phone: 480-812-7000
Alicia Rowlett, Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 3400 N Alma School Rd Apt 2034, Chandler, AZ 85224 Phone: 719-671-7172
Gail Cisneros, Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 1525 W Frye Rd, Chandler, AZ 85224 Phone: 480-812-7000
Gabrielle Christine Goldsmith, MS CCC-SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 964 E Cherry Hills Dr, Chandler, AZ 85249 Phone: 509-217-3367
Lauren Mead, Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 3160 N Arizona Ave Ste 105, Chandler, AZ 85225 Phone: 480-365-9981

Mrs Kimberly Marie Douglas, - Medicare Speech-Language Pathologist in Chandler, AZ