Aliza Ellenwood, MA CCC/SLP - Medicare Speech-Language Pathologist in New Hyde Park, NY

Aliza Ellenwood, MA CCC/SLP is a medicare enrolled "Speech-language Pathologist" provider in New Hyde Park, New York. Her current practice location is 430 Lakeville Rd, New Hyde Park, New York. You can reach out to her office (for appointments etc.) via phone at (718) 470-7550.

Aliza Ellenwood is licensed to practice in New York (license number 013313-01) 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 1205548062.

Contact Information

Aliza Ellenwood, MA CCC/SLP
430 Lakeville Rd,
New Hyde Park, NY 11042-1121
(718) 470-7550
Not Available



Healthcare Provider's Profile

Full NameAliza Ellenwood
GenderFemale
SpecialitySpeech-language Pathologist
Location430 Lakeville Rd, New Hyde Park, New York
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1205548062
  • Provider Enumeration Date: 12/22/2022
  • Last Update Date: 12/22/2022
  Medicare PECOS Information:
  • PECOS PAC ID: 5799158572
  • Enrollment ID: I20230224002169

Medical Identifiers

Medical identifiers for Aliza Ellenwood such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1205548062NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
235Z00000XSpeech-language Pathologist 013313-01 (New York)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. Aliza Ellenwood allows following entities to bill medicare on her behalf.
Provider NameNorth Shore - Lij Medical Pc
Provider TypePart B Supplier - Clinic/group Practice
Provider IdentifiersNPI Number: 1053688572
PECOS PAC ID: 3375701568
Enrollment ID: O20120220000262

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› Verified 2 days ago

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. Aliza Ellenwood 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 AddressPractice Location Address
Aliza Ellenwood, MA CCC/SLP
31 Forsythia Ln,
Jericho, NY 11753-2335

Ph: (516) 817-1379
Aliza Ellenwood, MA CCC/SLP
430 Lakeville Rd,
New Hyde Park, NY 11042-1121

Ph: (718) 470-7550

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Speech-Language Pathologist in New Hyde Park, NY

Mr. Gokul T Krishnan,
Speech-Language Pathologist
Medicare: May Accept Medicare Assignments
Practice Location: 1035 N 6th St, New Hyde Park, NY 11040
Phone: 513-413-8626    
Mrs. Maria Condello, MS, CCC-SLP
Speech-Language Pathologist
Medicare: Not Enrolled in Medicare
Practice Location: 34 Lahey St, New Hyde Park, NY 11040
Phone: 516-698-6564    
Mrs. Jessica Montesano, M.S., CCC-SLP
Speech-Language Pathologist
Medicare: Not Enrolled in Medicare
Practice Location: 1983 Marcus Ave, New Hyde Park, NY 11042
Phone: 516-497-7600    
Rene Marie Jablonski, M.A.CCC-SLP
Speech-Language Pathologist
Medicare: Medicare Enrolled
Practice Location: 430 Lakeville Rd, New Hyde Park, NY 11042
Phone: 718-470-8903    
Vania Sanchez, MS, CCC-SLP TSSLD BE
Speech-Language Pathologist
Medicare: Not Enrolled in Medicare
Practice Location: 5 Dakota Dr Ste 200, New Hyde Park, NY 11042
Phone: 718-281-8600    
Mrs. Bridget Nieves, M.A.,CCC-SLP/TSSLD
Speech-Language Pathologist
Medicare: Not Enrolled in Medicare
Practice Location: 5 Dakota Dr, New Hyde Park, NY 11042
Phone: 718-281-8515    
Speech Freedom Llc
Speech-Language Pathologist
Medicare: Not Enrolled in Medicare
Practice Location: 542 Stewart Avenue, New Hyde Park, NY 11040
Phone: 917-513-0455    

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