Mrs Tara S Sample, MHSCCCSLP L in New Lenox, IL - Medicare Speech-Language Pathologist Provider

Mrs Tara S Sample, MHSCCCSLP L is a medicare enrolled "Speech-language Pathologist" provider in New Lenox, Illinois. Her current practice location is 346 Alana Dr, New Lenox, Illinois. You can reach out to her office (for appointments etc.) via phone at (815) 462-0514.

Mrs Tara S Sample is licensed to practice in Illinois (license number ) 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 1508909375.

Contact Information

	Mrs Tara S Sample, MHSCCCSLP L
	346 Alana Dr, New Lenox, IL 60451-1784
	(815) 462-0514
	(815) 462-3993

Map and Direction

Healthcare Provider's Profile

Full Name	Mrs Tara S Sample
Gender	Female
Speciality	Speech-language Pathologist
Location	346 Alana Dr, New Lenox, Illinois
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1508909375
Provider Enumeration Date: 02/14/2007
Last Update Date: 07/08/2007

Medicare PECOS Information:

PECOS PAC ID: 6204192560
Enrollment ID: I20171102002249

Medical Identifiers

Medical identifiers for Mrs Tara S Sample such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1508909375	NPI	-	NPPES
9932126	Other	IL	BCBS PROVIDER NUMBER
09138770	Other		ASHA

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
235Z00000X	Speech-language Pathologist	(Illinois)	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 Tara S Sample allows following entities to bill medicare on her behalf.

Provider Name	At Home By Enhance Therapies Llc
Provider Type	Part B Supplier - Clinic/group Practice
Provider Identifiers	NPI Number: 1124603246 PECOS PAC ID: 4183033210 Enrollment ID: O20220511002297

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 Tara S Sample 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 Tara S Sample, MHSCCCSLP L 1095 James Pass, New Lenox, IL 60451-3148 Ph: (815) 483-8535	Mrs Tara S Sample, MHSCCCSLP L 346 Alana Dr, New Lenox, IL 60451-1784 Ph: (815) 462-0514

Reviews and Comments

Speech-Language Pathologist in New Lenox, IL

Kylie Farison, Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 1621 Andrea Dr, New Lenox, IL 60451 Phone: 779-435-0724
Mrs. Dawn R Rodriguez, M.A.,CCC-SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 346 Alana Dr, New Lenox, IL 60451 Phone: 815-462-0514 Fax: 815-462-3993
Ms. Catherine Anne Luebbe, SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 185 S Marley Rd, New Lenox, IL 60451 Phone: 815-462-4928
Samantha R Formento, Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 1621 Andrea Dr, New Lenox, IL 60451 Phone: 779-435-0724
Advantage Speech Therapy Solutions, Llc Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 1209 O Connell Cir, New Lenox, IL 60451 Phone: 708-829-3434
Jodi Andrea Frigo, Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 21701 Gougar Rd, New Lenox, IL 60451 Phone: 815-717-3706
Sean Marino, Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 2125 Water Chase Dr, New Lenox, IL 60451 Phone: 708-415-8275

Mrs Tara S Sample, MHSCCCSLP L - Medicare Speech-Language Pathologist in New Lenox, IL