Stephen Gary Heacock, MS CCC-SLP in Colorado Springs, CO - Medicare Speech-Language Pathologist Provider

Stephen Gary Heacock, MS CCC-SLP is a medicare enrolled "Speech-language Pathologist" provider in Colorado Springs, Colorado. His current practice location is 6985 Cabriolet Dr, Colorado Springs, Colorado. You can reach out to his office (for appointments etc.) via phone at (719) 660-3579.

Stephen Gary Heacock is licensed to practice in Colorado (license number SLP.0003284) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1558849513.

Contact Information

	Stephen Gary Heacock, MS CCC-SLP
	6985 Cabriolet Dr, Colorado Springs, CO 80923-8797
	(719) 660-3579
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Stephen Gary Heacock
Gender	Male
Speciality	Speech-language Pathologist
Location	6985 Cabriolet Dr, Colorado Springs, Colorado
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1558849513
Provider Enumeration Date: 08/01/2018
Last Update Date: 06/28/2024

Medicare PECOS Information:

PECOS PAC ID: 0840665683
Enrollment ID: I20230410002640

Medical Identifiers

Medical identifiers for Stephen Gary Heacock such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1558849513	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
235Z00000X	Speech-language Pathologist	SA22589 (Florida)	Secondary
235Z00000X	Speech-language Pathologist	SLP.0003284 (Colorado)	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. Stephen Gary Heacock allows following entities to bill medicare on his behalf.

Provider Name	Expressable Therapy Pc
Provider Type	Part B Supplier - Clinic/group Practice
Provider Identifiers	NPI Number: 1134875370 PECOS PAC ID: 0042698136 Enrollment ID: O20221021001614

Provider Name	Purple Mountain Speech Clinic Llc
Provider Type	Part B Supplier - Clinic/group Practice
Provider Identifiers	NPI Number: 1033810437 PECOS PAC ID: 9931574779 Enrollment ID: O20230410002625

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. Stephen Gary Heacock 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
Stephen Gary Heacock, MS CCC-SLP 6985 Cabriolet Dr, Colorado Springs, CO 80923-8797 Ph: (719) 204-5236	Stephen Gary Heacock, MS CCC-SLP 6985 Cabriolet Dr, Colorado Springs, CO 80923-8797 Ph: (719) 660-3579

Reviews and Comments

Speech-Language Pathologist in Colorado Springs, CO

Mrs. Katherine Suzanne Marshall, SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 6302 Grand Mesa Dr, Colorado Springs, CO 80923 Phone: 719-574-4492
Renae Cuevas Dias, CCC-SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 4815 Condor Creek Pt, Colorado Springs, CO 80916 Phone: 402-369-2537
Ms. Melanie Slavetskas, M.S. CCC-SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 1115 N El Paso St, Colorado Springs, CO 80903 Phone: 719-520-2000
Haley Samantha Seidman, MA, CCC-SLP Speech-Language Pathologist Medicare: Medicare Enrolled Practice Location: 917 E Moreno Ave Ste 150, Colorado Springs, CO 80903 Phone: 719-597-0822
David Daniel, Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 2316 N Wahsatch Ave # 127, Colorado Springs, CO 80907 Phone: 706-473-3454
Victoria Eileen Melendrez, MS, CF-SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 1710 Jet Stream Dr, Colorado Springs, CO 80921 Phone: 719-434-1109
Taylor Deboer, Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 209 Leta Dr, Colorado Springs, CO 80911 Phone: 719-391-3375

Stephen Gary Heacock, MS CCC-SLP - Medicare Speech-Language Pathologist in Colorado Springs, CO