Patricia Anne Tanael Medalla, MS CCC-SLP in Fremont, CA - Medicare Speech-Language Pathologist Provider

Patricia Anne Tanael Medalla, MS CCC-SLP is a medicare enrolled "Speech-language Pathologist" provider in Fremont, California. Her current practice location is 38627 Cherry Ln Apt 81, Fremont, California. You can reach out to her office (for appointments etc.) via phone at (510) 402-7368.

Patricia Anne Tanael Medalla is licensed to practice in California (license number 28937) 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 1255969176.

Contact Information

	Patricia Anne Tanael Medalla, MS CCC-SLP
	38627 Cherry Ln Apt 81, Fremont, CA 94536-4270
	(510) 402-7368
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Patricia Anne Tanael Medalla
Gender	Female
Speciality	Speech-language Pathologist
Location	38627 Cherry Ln Apt 81, Fremont, California
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1255969176
Provider Enumeration Date: 03/27/2020
Last Update Date: 02/11/2022

Medicare PECOS Information:

PECOS PAC ID: 4981002995
Enrollment ID: I20211005003703

Medical Identifiers

Medical identifiers for Patricia Anne Tanael Medalla such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1255969176	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
235Z00000X	Speech-language Pathologist	28937 (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. Patricia Anne Tanael Medalla allows following entities to bill medicare on her behalf.

Provider Name	Permanente Medical Group Inc
Provider Type	Part B Supplier - Clinic/group Practice
Provider Identifiers	NPI Number: 1073606299 PECOS PAC ID: 8921910225 Enrollment ID: O20031104000710

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. Patricia Anne Tanael Medalla 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
Patricia Anne Tanael Medalla, MS CCC-SLP 30927 Union City Blvd, Union City, CA 94587-2547 Ph: (510) 402-7368	Patricia Anne Tanael Medalla, MS CCC-SLP 38627 Cherry Ln Apt 81, Fremont, CA 94536-4270 Ph: (510) 402-7368

Reviews and Comments

Speech-Language Pathologist in Fremont, CA

Payton Caroline Guthrie, M.S., CCC-SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 39420 Liberty St Ste 150, Fremont, CA 94538 Phone: 510-794-5155
May Derry, SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 39420 Liberty St Ste 150, Fremont, CA 94538 Phone: 510-794-5155
Ms. Susan Yao, MS, CCC-SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 2500 Mowry Ave, Washington Hospital, Attn: Speech Therapy, Fremont, CA 94538 Phone: 510-791-3450
Maria Cecilia Natad-mapagu, MS CCC-SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 3889 Wildflower Cmn, Fremont, CA 94538 Phone: 510-661-0654
Ms. Mohita Kaushik, MA CCC-SLP Speech-Language Pathologist Medicare: Medicare Enrolled Practice Location: 39420 Liberty St Ste 150, Fremont, CA 94538 Phone: 510-794-5155
Mehwesh Muhammed, Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 39201 State St, Fremont, CA 94538 Phone: 866-206-2008
John Kim, Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 39201 State St, Fremont, CA 94538 Phone: 866-206-2008

Patricia Anne Tanael Medalla, MS CCC-SLP - Medicare Speech-Language Pathologist in Fremont, CA