Ms Karlene Marie Stackhouse, MA CCC-SLP is a medicare enrolled "Speech-language Pathologist" provider in Dundee, New York. Her current practice location is
9 Millard St, Dundee, New York. You can reach out to her office (for appointments etc.) via phone at
(607) 377-7216.
Ms Karlene Marie Stackhouse is licensed to practice in New York (license number 018603) 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 1811164890.
Healthcare Provider's Profile
| Full Name | Ms Karlene Marie Stackhouse |
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| Gender | Female |
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| Speciality | Speech-language Pathologist |
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| Location | 9 Millard St, Dundee, New York |
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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: 1811164890
- Provider Enumeration Date: 05/09/2008
- Last Update Date: 09/13/2018
Medicare PECOS Information:
- PECOS PAC ID: 6709306350
- Enrollment ID: I20250226000584
Medical Identifiers
Medical identifiers for Ms Karlene Marie Stackhouse such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1811164890 | NPI | - | NPPES |
| 1811164890 | Medicaid | NY | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 235Z00000X | Speech-language Pathologist | 4126 (New Mexico) | Secondary |
| 235Z00000X | Speech-language Pathologist | 018603 (New York) | 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 Karlene Marie Stackhouse allows following entities to bill medicare on her behalf.
| Provider Name | Yagel Therapy 2.0 Corporation |
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| Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
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| Provider Identifiers | NPI Number: 1174246367
PECOS PAC ID: 7618407909
Enrollment ID: O20250217001446 |
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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 Karlene Marie Stackhouse 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 Karlene Marie Stackhouse, MA CCC-SLP
9 Millard St,
Dundee, NY 14837-1008
Ph: (607) 377-7216 | Ms Karlene Marie Stackhouse, MA CCC-SLP
9 Millard St,
Dundee, NY 14837-1008
Ph: (607) 377-7216 |
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