Tracey Lee Gangluff, MS,CCC,SLP in Granger, IN - Medicare Speech-Language Pathologist Provider

Tracey Lee Gangluff, MS,CCC,SLP is a medicare enrolled "Speech-language Pathologist" provider in Granger, Indiana. Her current practice location is 51738 Sagecrest Dr, Granger, Indiana. You can reach out to her office (for appointments etc.) via phone at (574) 339-5959.

Tracey Lee Gangluff is licensed to practice in Indiana (license number 01101056) 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 1801127816.

Contact Information

	Tracey Lee Gangluff, MS,CCC,SLP
	51738 Sagecrest Dr, Granger, IN 46530-6887
	(574) 339-5959
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Tracey Lee Gangluff
Gender	Female
Speciality	Speech-language Pathologist
Location	51738 Sagecrest Dr, Granger, Indiana
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1801127816
Provider Enumeration Date: 01/15/2010
Last Update Date: 04/22/2010

Medicare PECOS Information:

PECOS PAC ID: 3678609989
Enrollment ID: I20231120000060

Medical Identifiers

Medical identifiers for Tracey Lee Gangluff such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1801127816	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
235Z00000X	Speech-language Pathologist	01101056 (Indiana)	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. Tracey Lee Gangluff allows following entities to bill medicare on her behalf.

Provider Name	Comprehensive Therapeutics Ltd
Provider Type	Part B Supplier - Clinic/group Practice
Provider Identifiers	NPI Number: 1699094102 PECOS PAC ID: 8921230137 Enrollment ID: O20190227002094

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. Tracey Lee Gangluff 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
Tracey Lee Gangluff, MS,CCC,SLP 51738 Sagecrest Dr, Granger, IN 46530-6887 Ph: (574) 339-5959	Tracey Lee Gangluff, MS,CCC,SLP 51738 Sagecrest Dr, Granger, IN 46530-6887 Ph: (574) 339-5959

Reviews and Comments

Speech-Language Pathologist in Granger, IN

Mrs. Elizabeth Selge, SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 15635 Arthur St, Granger, IN 46530 Phone: 260-385-3014
Hearing And Speech Center Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 6910 N Main St Unit 9, Granger, IN 46530 Phone: 574-247-6047 Fax: 574-247-6060
Amy Mason, M.S., CCC-SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 51950 Hazel Rd, Granger, IN 46530 Phone: 812-374-7755
Ms. Elizabeth K. Ready, M.A. Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 6910 N Main St Unit 9, Mail Unit 10, Granger, IN 46530 Phone: 574-247-6047 Fax: 574-247-6060
Nava Arman Shahidi, Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 52310 Clarendon Hills Dr, Granger, IN 46530 Phone: 574-229-5610
Amy Wolfe Knauff, MA CCC/SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 17351 Post Tavern Rd, Granger, IN 46530 Phone: 574-247-0740
Ms. Meg T. Brewer, M.A. Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 6910 N Main St Unit 9, Mail Unit 10, Granger, IN 46530 Phone: 574-247-6047 Fax: 574-247-6060

Tracey Lee Gangluff, MS,CCC,SLP - Medicare Speech-Language Pathologist in Granger, IN