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

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 NameMrs Kimberly Marie Douglas
GenderFemale
SpecialitySpeech-language Pathologist
Location1625 W Geronimo St, Chandler, Arizona
Accepts Medicare AssignmentsMedicare 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.
IdentifierTypeStateIssuer
1609941962NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
235Z00000XSpeech-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 NameTheraplay4kidz, Llc
Provider TypePart B Supplier - Clinic/group Practice
Provider IdentifiersNPI 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 AddressPractice 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,
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Phone: 480-329-7600    
Allison Dawn Smith, MS CCC SLP
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Phone: 480-963-5800    Fax: 480-963-5805
Miss Demaurice Jiana Basile, M.S., CCC-SLP
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Practice Location: 1525 W Frye Rd, Chandler, AZ 85224
Phone: 480-812-7000    
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Practice Location: 3400 N Alma School Rd Apt 2034, Chandler, AZ 85224
Phone: 719-671-7172    
Gail Cisneros,
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Practice Location: 1525 W Frye Rd, Chandler, AZ 85224
Phone: 480-812-7000    
Gabrielle Christine Goldsmith, MS CCC-SLP
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Practice Location: 964 E Cherry Hills Dr, Chandler, AZ 85249
Phone: 509-217-3367    
Lauren Mead,
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Practice Location: 3160 N Arizona Ave Ste 105, Chandler, AZ 85225
Phone: 480-365-9981    

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Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

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