Amy Wahlstrom-hitsman, SLP-CCC in Eielson Afb, AK - Medicare Speech-Language Pathologist Provider

Amy Wahlstrom-hitsman, SLP-CCC is a medicare enrolled "Speech-language Pathologist" provider in Eielson Afb, Alaska. Her current practice location is 634 Kodiak St Apt A, Eielson Afb, Alaska. You can reach out to her office (for appointments etc.) via phone at (808) 234-9990.

Amy Wahlstrom-hitsman is licensed to practice in California (license number 16896) 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 1215192323.

Contact Information

	Amy Wahlstrom-hitsman, SLP-CCC
	634 Kodiak St Apt A, Eielson Afb, AK 99702-1213
	(808) 234-9990
	Not Available

Healthcare Provider's Profile

Full Name	Amy Wahlstrom-hitsman
Gender	Female
Speciality	Speech-language Pathologist
Location	634 Kodiak St Apt A, Eielson Afb, Alaska
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1215192323
Provider Enumeration Date: 07/29/2008
Last Update Date: 01/05/2022

Medicare PECOS Information:

PECOS PAC ID: 1254556772
Enrollment ID: I20230911002551

Medical Identifiers

Medical identifiers for Amy Wahlstrom-hitsman such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1215192323	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
235Z00000X	Speech-language Pathologist	16896 (California)	Primary
235Z00000X	Speech-language Pathologist	167053 (Alaska)	Secondary
235Z00000X	Speech-language Pathologist	SP1360 (Hawaii)	Secondary
235Z00000X	Speech-language Pathologist	SP3190 (Maine)	Secondary

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. Amy Wahlstrom-hitsman 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
Amy Wahlstrom-hitsman, SLP-CCC 634 Kodiak St Apt A, Eielson Afb, AK 99702-1213 Ph: (808) 234-9990	Amy Wahlstrom-hitsman, SLP-CCC 634 Kodiak St Apt A, Eielson Afb, AK 99702-1213 Ph: (808) 234-9990

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Amy Wahlstrom-hitsman, SLP-CCC - Medicare Speech-Language Pathologist in Eielson Afb, AK