Ms Alisabeth Jean Kish, is a medicare enrolled "Speech-language Pathologist" provider in Heathsville, Virginia. Her current practice location is
757 Academic Ln, Heathsville, Virginia. You can reach out to her office (for appointments etc.) via phone at
(804) 580-8032.
Ms Alisabeth Jean Kish is licensed to practice in Virginia (license number 2204001202) 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 1346921434.
Healthcare Provider's Profile
| Full Name | Ms Alisabeth Jean Kish |
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| Gender | Female |
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| Speciality | Speech-language Pathologist |
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| Location | 757 Academic Ln, Heathsville, Virginia |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
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NPI Data:
- NPI Number: 1346921434
- Provider Enumeration Date: 07/31/2023
- Last Update Date: 06/10/2025
Medicare PECOS Information:
- PECOS PAC ID: 0648789586
- Enrollment ID: I20250603001390
Medical Identifiers
Medical identifiers for Ms Alisabeth Jean Kish such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1346921434 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 235Z00000X | Speech-language Pathologist | 2204001202 (Virginia) | 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. Ms Alisabeth Jean Kish allows following entities to bill medicare on her behalf.
| Provider Name | For The Ages Rehabilitation Llc |
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| Provider Type | Part B Supplier - Clinic/group Practice |
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| Provider Identifiers | NPI Number: 1538973045
PECOS PAC ID: 4284151606
Enrollment ID: O20250509000042 |
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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. Ms Alisabeth Jean Kish 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 |
|---|
Ms Alisabeth Jean Kish,
6782 E River Rd,
King William, VA 23086-3437
Ph: (804) 543-0272 | Ms Alisabeth Jean Kish,
757 Academic Ln,
Heathsville, VA 22473-3316
Ph: (804) 580-8032 |
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