Jaesan Pc in Charlotte, NC - Medicare Speech-Language Pathologist Provider

Jaesan Pc is a medicare enrolled "Speech-language Pathologist" provider in Charlotte, North Carolina. Their current practice location is 3116 Milton Rd Ste F, Charlotte, North Carolina. You can reach out to their office (for appointments etc.) via phone at (980) 237-6226.

Jaesan Pc is licensed to practice in * (Not Available) (license number ) and it also participates in the medicare program. Jaesan Pc is enrolled with medicare and should accept medicare assignments and since they are enrolled in medicare, they may order Medicare Part D Prescription drugs, if eligible. The facility's NPI Number is 1003940933.

Contact Information

	Jaesan Pc
	3116 Milton Rd Ste F, Charlotte, NC 28215-5079
	(980) 237-6226
	(980) 237-6288

Map and Direction

Healthcare Provider's Profile

Full Name	Jaesan Pc
Type	Facility
Speciality	Speech-language Pathologist
Location	3116 Milton Rd Ste F, Charlotte, North Carolina
Accepts Medicare Assignments	Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs.

NPI Data:

NPI Number: 1003940933
Provider Enumeration Date: 03/15/2007
Last Update Date: 10/27/2021

Medicare PECOS Information:

PECOS PAC ID: 3870815962
Enrollment ID: O20141126001395

Medical Identifiers

Medical identifiers for Jaesan Pc such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1003940933	NPI	-	NPPES
7411868	Medicaid	NC
7212056	Medicaid	NC

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
235Z00000X	Speech-language Pathologist	5842 (North Carolina)	Secondary
235Z00000X	Speech-language Pathologist	6278 (North Carolina)	Secondary
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. Jaesan Pc acts as a billing entity for following providers:

Provider Name	Kai A Jerrell
Provider Type	Practitioner - Qualified Speech Language Pathologist
Provider Identifiers	NPI Number: 1699073197 PECOS PAC ID: 5698097798 Enrollment ID: I20141126001894

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. Jaesan Pc 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
Jaesan Pc 3116 Milton Rd Ste F, Charlotte, NC 28215-5079 Ph: (980) 237-6226	Jaesan Pc 3116 Milton Rd Ste F, Charlotte, NC 28215-5079 Ph: (980) 237-6226

Reviews and Comments

Speech-Language Pathologist in Charlotte, NC

Mrs. Christina Berkau Pope, M.S. CCC-SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 1116 Linda Ln, Charlotte, NC 28211 Phone: 919-815-7184
Mrs. Lindsay R Starr, MHS CCC-SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 2124 Chatham Ave, Charlotte, NC 28205 Phone: 314-703-8013
Primus Therapy Services, Pllc Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 9407 Pastern Ct, Charlotte, NC 28216 Phone: 704-779-2663
Catherine Maria Graye, MS-CCC/SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 1805 Mt Isle Harbor Dr, Charlotte, NC 28214 Phone: 704-277-0294
Lindsay M White, SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 1100 Blythe Blvd, Charlotte, NC 28203 Phone: 704-355-8484 Fax: 704-355-4231
Ms. Louise B. Felton, CCC-SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 2128 Kaybird Ln, Charlotte, NC 28270 Phone: 704-844-8031

Jaesan Pc - Medicare Speech-Language Pathologist in Charlotte, NC