Pamela Johnson Desimone, MS CCC-SLP in Groton, CT - Medicare Speech-Language Pathologist Provider

Pamela Johnson Desimone, MS CCC-SLP is a medicare enrolled "Speech-language Pathologist" provider in Groton, Connecticut. Her current practice location is 1145 Poquonnock Rd, Groton, Connecticut. You can reach out to her office (for appointments etc.) via phone at (860) 446-3134.

Pamela Johnson Desimone is licensed to practice in Connecticut (license number 004011) 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 1760758247.

Contact Information

	Pamela Johnson Desimone, MS CCC-SLP
	1145 Poquonnock Rd, Groton, CT 06340-4620
	(860) 446-3134
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Pamela Johnson Desimone
Gender	Female
Speciality	Speech-language Pathologist
Location	1145 Poquonnock Rd, Groton, Connecticut
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1760758247
Provider Enumeration Date: 03/28/2012
Last Update Date: 03/28/2012

Medicare PECOS Information:

PECOS PAC ID: 8921454539
Enrollment ID: I20231101003622

Medical Identifiers

Medical identifiers for Pamela Johnson Desimone such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1760758247	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
235Z00000X	Speech-language Pathologist	004011 (Connecticut)	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. Pamela Johnson Desimone allows following entities to bill medicare on her behalf.

Provider Name	Inspire Physical Therapy And Wellness, Llc
Provider Type	Part B Supplier - Physical/occupational Therapy Group In Private Practice
Provider Identifiers	NPI Number: 1548847221 PECOS PAC ID: 4688073448 Enrollment ID: O20220511000121

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. Pamela Johnson Desimone 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
Pamela Johnson Desimone, MS CCC-SLP 1145 Poquonnock Rd, Groton, CT 06340-4620 Ph: () -	Pamela Johnson Desimone, MS CCC-SLP 1145 Poquonnock Rd, Groton, CT 06340-4620 Ph: (860) 446-3134

Reviews and Comments

Speech-Language Pathologist in Groton, CT

Mrs. Dawn Mingione, M.S. CCC-SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 145 Pleasant Valley Rd S, Groton, CT 06340 Phone: 860-235-0666
Mrs. Audra Marie Wilks, M.S., CCC-SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 1145 Poquonnock Rd, Groton, CT 06340 Phone: 860-446-9960
Kelley Bean, Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 27 Noble Ave Unit 3, Groton, CT 06340 Phone: 413-265-1813
Erin Lynne Mullane, SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 1145 Poquonnock Rd, Groton, CT 06340 Phone: 860-446-9960
Kaileigh Lear, Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 135 Ledgewood Rd Apt 302, Groton, CT 06340 Phone: 860-287-1375
Elizabeth Ann Preston, MS CCC-SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 235 Lestertown Rd, Groton, CT 06340 Phone: 860-445-7487

Pamela Johnson Desimone, MS CCC-SLP - Medicare Speech-Language Pathologist in Groton, CT