Rachelle Dodge, in Benton Harbor, MI - Medicare Speech-Language Pathologist Provider

Rachelle Dodge, is a medicare enrolled "Speech-language Pathologist" provider in Benton Harbor, Michigan. Her current practice location is 1651 E Nickerson Ave, Benton Harbor, Michigan. You can reach out to her office (for appointments etc.) via phone at (269) 876-5697.

Rachelle Dodge is licensed to practice in * (Not Available) (license number ) 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 1548094253.

Contact Information

	Rachelle Dodge,
	1651 E Nickerson Ave, Benton Harbor, MI 49022-2469
	(269) 876-5697
	(269) 359-3730

Map and Direction

Healthcare Provider's Profile

Full Name	Rachelle Dodge
Gender	Female
Speciality	Speech-language Pathologist
Location	1651 E Nickerson Ave, Benton Harbor, Michigan
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1548094253
Provider Enumeration Date: 08/27/2024
Last Update Date: 08/27/2024

Medicare PECOS Information:

PECOS PAC ID: 0143760470
Enrollment ID: I20240912002651

Medical Identifiers

Medical identifiers for Rachelle Dodge such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1548094253	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
235Z00000X	Speech-language Pathologist	(* (Not Available))	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. Rachelle Dodge allows following entities to bill medicare on her behalf.

Provider Name	Logan Community Resources Inc
Provider Type	Part B Supplier - Clinic/group Practice
Provider Identifiers	NPI Number: 1891917449 PECOS PAC ID: 2961790126 Enrollment ID: O20161004002087

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. Rachelle Dodge 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
Rachelle Dodge, 1651 E Nickerson Ave, Benton Harbor, MI 49022-2469 Ph: (269) 876-5697	Rachelle Dodge, 1651 E Nickerson Ave, Benton Harbor, MI 49022-2469 Ph: (269) 876-5697

Reviews and Comments

Speech-Language Pathologist in Benton Harbor, MI

Kinsey Harrison, MS, CCC-SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 1651 E Nickerson Ave, Benton Harbor, MI 49022 Phone: 269-983-5833
Jessica Gaytan, MS SLP Speech-Language Pathologist Medicare: Medicare Enrolled Practice Location: 1651 E Nickerson Ave, Benton Harbor, MI 49022 Phone: 269-876-5697
Anna Patricia Livingston, Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 1651 E Nickerson Ave, Benton Harbor, MI 49022 Phone: 269-983-5833
Christopher Lee Smith, Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 1651 E Nickerson Ave, Benton Harbor, MI 49022 Phone: 269-876-5697
Kathryn Vandermolen, Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 1651 E Nickerson Ave, Benton Harbor, MI 49022 Phone: 269-983-5833 Fax: 269-363-4630
Mckenzie Knight, MA Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 1651 E Nickerson Ave, Benton Harbor, MI 49022 Phone: 269-876-5697 Fax: 269-359-3730

Rachelle Dodge, - Medicare Speech-Language Pathologist in Benton Harbor, MI