Mrs Shana K Connelly, MASTERS SLP in Brunswick, OH - Medicare Speech-Language Pathologist Provider

Mrs Shana K Connelly, MASTERS SLP is a medicare enrolled "Speech-language Pathologist" provider in Brunswick, Ohio. Her current practice location is 4076 Dennis Ln, Brunswick, Ohio. You can reach out to her office (for appointments etc.) via phone at (330) 220-8266.

Mrs Shana K Connelly is licensed to practice in Ohio (license number SP8602) 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 1275727760.

Contact Information

	Mrs Shana K Connelly, MASTERS SLP
	4076 Dennis Ln, Brunswick, OH 44212-2904
	(330) 220-8266
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Mrs Shana K Connelly
Gender	Female
Speciality	Speech-language Pathologist
Location	4076 Dennis Ln, Brunswick, Ohio
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1275727760
Provider Enumeration Date: 08/28/2007
Last Update Date: 02/25/2025

Medicare PECOS Information:

PECOS PAC ID: 7911428511
Enrollment ID: I20250312001323

Medical Identifiers

Medical identifiers for Mrs Shana K Connelly such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1275727760	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
235Z00000X	Speech-language Pathologist	SP8602 (Ohio)	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 Shana K Connelly allows following entities to bill medicare on her behalf.

Provider Name	Empowerme Rehabilitation Illinois Llc
Provider Type	Part B Supplier - Clinic/group Practice
Provider Identifiers	NPI Number: 1528652096 PECOS PAC ID: 2365718277 Enrollment ID: O20210309002610

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 Shana K Connelly 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 Shana K Connelly, MASTERS SLP 4076 Dennis Ln, Brunswick, OH 44212-2904 Ph: (330) 220-8266	Mrs Shana K Connelly, MASTERS SLP 4076 Dennis Ln, Brunswick, OH 44212-2904 Ph: (330) 220-8266

Reviews and Comments

Speech-Language Pathologist in Brunswick, OH

Mrs. Elizabeth Marie Audie, Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 584 Topaz Ln, Brunswick, OH 44212 Phone: 330-931-1654
Mrs. Kelly June Treharn, M.A., CCC-SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 4628 Hickory Ridge Ave, Brunswick, OH 44212 Phone: 330-225-7731
Rebecca W Calderwood, SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 839 Pearl Road, Brunswick, OH 44212 Phone: 330-225-4182
Husna Ara Shariff, Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 1483 Pearl Rd, Brunswick, OH 44212 Phone: 330-273-0500
Jillian Cameron, M.A., CCC-SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 3581 Center Rd, Brunswick, OH 44212 Phone: 330-273-0408
Rebekah Jill Vickerts, M.S. CCC-SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 3643 Center Rd, Brunswick, OH 44212 Phone: 330-273-0408

Mrs Shana K Connelly, MASTERS SLP - Medicare Speech-Language Pathologist in Brunswick, OH