Semetrah Alima Kincannon, MS CCC SLP in Victorville, CA - Medicare Qualified Speech Language Pathologist Provider

Semetrah Alima Kincannon, MS CCC SLP is a medicare enrolled "Speech-language Pathologist" provider in Victorville, California. She graduated from medical school in 2017 and has 8 years of diverse experience with area of expertise as Qualified Speech Language Pathologist. Her current practice location is 14369 Park Ave Ste 201a, Victorville, California. You can reach out to her office (for appointments etc.) via phone at (760) 278-1484.

Semetrah Alima Kincannon is licensed to practice in California (license number SP28180) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1518436278.

Contact Information

	Semetrah Alima Kincannon, MS CCC SLP
	14369 Park Ave Ste 201a, Victorville, CA 92392-2300
	(760) 278-1484
	(855) 719-2558

Map and Direction

Healthcare Provider's Profile

Full Name	Semetrah Alima Kincannon
Gender	Female
Speciality	Qualified Speech Language Pathologist
Experience	8 Years
Location	14369 Park Ave Ste 201a, Victorville, California
Accepts Medicare Assignments	Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Semetrah Alima Kincannon graduated from medical school in 2017

NPI Data:

NPI Number: 1518436278
Provider Enumeration Date: 11/24/2018
Last Update Date: 09/28/2024

Medicare PECOS Information:

PECOS PAC ID: 3779983564
Enrollment ID: I20210616000930

Medical Identifiers

Medical identifiers for Semetrah Alima Kincannon such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1518436278	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
235Z00000X	Speech-language Pathologist	SP28180 (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. Semetrah Alima Kincannon allows following entities to bill medicare on her behalf.

Provider Name	Momentum Speech Therapy Inc
Provider Type	Part B Supplier - Clinic/group Practice
Provider Identifiers	NPI Number: 1134701048 PECOS PAC ID: 1951701747 Enrollment ID: O20210616000835

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. Semetrah Alima Kincannon 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
Semetrah Alima Kincannon, MS CCC SLP 12722 Silver Spur Way, Victorville, CA 92392-7437 Ph: (760) 694-3240	Semetrah Alima Kincannon, MS CCC SLP 14369 Park Ave Ste 201a, Victorville, CA 92392-2300 Ph: (760) 278-1484

Reviews and Comments

Speech-Language Pathologist in Victorville, CA

Momentum Speech Therapy Inc Speech-Language Pathologist Medicare: Medicare Enrolled Practice Location: 14369 Park Ave Ste 201a, Victorville, CA 92392 Phone: 760-278-1484 Fax: 855-719-2558
Imperial Physical Therapy P C Speech-Language Pathologist Medicare: Medicare Enrolled Practice Location: 12550 Hesperia Rd Ste 220, Victorville, CA 92395 Phone: 909-509-6064
Catherine Ward, CCC-SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 13275 Mauka Ct, Victorville, CA 92395 Phone: 760-617-2016
Roberta Moralez, Speech-Language Pathologist Medicare: Medicare Enrolled Practice Location: 16850 Bear Valley Rd, Victorville, CA 92395 Phone: 760-241-8000 Fax: 760-843-5032
Nicole Marie Sweeney, Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 16850 Bear Valley Rd, Victorville, CA 92395 Phone: 760-241-8000 Fax: 760-843-5032
Diane Carolyn Mercer, Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 16850 Bear Valley Rd, Victorville, CA 92395 Phone: 760-241-8000 Fax: 760-962-8021

Semetrah Alima Kincannon, MS CCC SLP - Medicare Speech-Language Pathologist in Victorville, CA