Ms Keovmorkodh Kucharski, MS CF-SLP in Whitestone, NY - Medicare Speech-Language Pathologist Provider

Ms Keovmorkodh Kucharski, MS CF-SLP is a medicare enrolled "Speech-language Pathologist" provider in Whitestone, New York. Her current practice location is 150-50 14th Road, Whitestone, New York. You can reach out to her office (for appointments etc.) via phone at (718) 767-0091.

Ms Keovmorkodh Kucharski is licensed to practice in California (license number 23364) 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 1023426053.

Contact Information

	Ms Keovmorkodh Kucharski, MS CF-SLP
	150-50 14th Road, Whitestone, NY 11357
	(718) 767-0091
	(718) 767-0086

Map and Direction

Healthcare Provider's Profile

Full Name	Ms Keovmorkodh Kucharski
Gender	Female
Speciality	Speech-language Pathologist
Location	150-50 14th Road, Whitestone, New York
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1023426053
Provider Enumeration Date: 07/22/2014
Last Update Date: 12/13/2021

Medicare PECOS Information:

PECOS PAC ID: 0941556138
Enrollment ID: I20180629002592

Medical Identifiers

Medical identifiers for Ms Keovmorkodh Kucharski such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1023426053	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
235Z00000X	Speech-language Pathologist	23364 (California)	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 Keovmorkodh Kucharski allows following entities to bill medicare on her behalf.

Provider Name	Southern California Permanente Medical Group
Provider Type	Part B Supplier - Clinic/group Practice
Provider Identifiers	NPI Number: 1770515280 PECOS PAC ID: 6002729175 Enrollment ID: O20031110000678

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 Keovmorkodh Kucharski 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 Keovmorkodh Kucharski, MS CF-SLP 244 5th Ave Ste J263, New York, NY 10001-7604 Ph: (310) 661-1133	Ms Keovmorkodh Kucharski, MS CF-SLP 150-50 14th Road, Whitestone, NY 11357 Ph: (718) 767-0091

Reviews and Comments

Speech-Language Pathologist in Whitestone, NY

Taylor Abena Amoafo, SPEECH PATHOLOGIST Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 15050 14th Rd, Whitestone, NY 11357 Phone: 718-767-0071
Madeleine Logan, Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 150-50 14th Road, Whitestone, NY 11357 Phone: 718-767-0091
All In 1 Spot With Theratalk Slp, Pt, Ot, Psychology Pllc Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 15050 14th Rd, Whitestone, NY 11357 Phone: 718-767-0091
Natasha Eva Kriegel, Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 15050 14th Rd, Whitestone, NY 11357 Phone: 516-784-8966
Ms. Julianna Maria Ioannou, SLP-CF Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 15050 14th Rd, Whitestone, NY 11357 Phone: 718-767-0091 Fax: 718-767-0086
Mrs. Despina Katsiaris, MS CCC-SLP, TSSLD Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 15050 14th Rd, Whitestone, NY 11357 Phone: 718-767-0091 Fax: 718-767-0086

Ms Keovmorkodh Kucharski, MS CF-SLP - Medicare Speech-Language Pathologist in Whitestone, NY