Kallie Medenwald, MS CF-SLP - Medicare Speech-Language Pathologist in Andover, MN

Kallie Medenwald, MS CF-SLP is a medicare enrolled "Speech-language Pathologist" provider in Andover, Minnesota. Her current practice location is 1891 Station Pkwy Nw, Andover, Minnesota. You can reach out to her office (for appointments etc.) via phone at (763) 755-4275.

Kallie Medenwald is licensed to practice in Minnesota (license number 528371) 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 1649903451.

Contact Information

Kallie Medenwald, MS CF-SLP
1891 Station Pkwy Nw,
Andover, MN 55304-3341
(763) 755-4275
Not Available



Healthcare Provider's Profile

Full NameKallie Medenwald
GenderFemale
SpecialitySpeech-language Pathologist
Location1891 Station Pkwy Nw, Andover, Minnesota
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1649903451
  • Provider Enumeration Date: 07/08/2022
  • Last Update Date: 07/08/2022
  Medicare PECOS Information:
  • PECOS PAC ID: 2668857194
  • Enrollment ID: I20220919002665

Medical Identifiers

Medical identifiers for Kallie Medenwald such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1649903451NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
235Z00000XSpeech-language Pathologist 528371 (Minnesota)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. Kallie Medenwald allows following entities to bill medicare on her behalf.
Provider NameFamily Speech & Therapy Services Llc
Provider TypePart B Supplier - Clinic/group Practice
Provider IdentifiersNPI Number: 1235285966
PECOS PAC ID: 8022335397
Enrollment ID: O20150325001650

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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. Kallie Medenwald 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
Kallie Medenwald, MS CF-SLP
1891 Station Pkwy Nw,
Andover, MN 55304-3341

Ph: (763) 755-4275
Kallie Medenwald, MS CF-SLP
1891 Station Pkwy Nw,
Andover, MN 55304-3341

Ph: (763) 755-4275

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Eating at full-service restaurants not necessarily healthier than eating at fast-food outlets

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Speech-Language Pathologist in Andover, MN

Megan Dierking,
Speech-Language Pathologist
Medicare: Medicare Enrolled
Practice Location: 1891 Station Pkwy Nw, Andover, MN 55304
Phone: 763-755-4275    
Mrs. Melissa Sue Lonsky, CCC-SLP, OM
Speech-Language Pathologist
Medicare: Medicare Enrolled
Practice Location: 13750 Crosstown Dr Nw, Andover, MN 55304
Phone: 763-755-4275    Fax: 763-755-4261
Courtney Wagner,
Speech-Language Pathologist
Medicare: Medicare Enrolled
Practice Location: 1891 Station Pkwy Nw, Andover, MN 55304
Phone: 763-755-4275    
Kristina Dose, MA, SLLP-CF/DE
Speech-Language Pathologist
Medicare: Medicare Enrolled
Practice Location: 1891 Station Pkwy Nw, Andover, MN 55304
Phone: 763-755-4275    Fax: 763-755-4261
Ms. Kelsey Anne Wegner, M.A., CCC-SLP
Speech-Language Pathologist
Medicare: Not Enrolled in Medicare
Practice Location: 1891 Station Pkwy Nw, Andover, MN 55304
Phone: 763-755-4275    
Nicole Morrissey,
Speech-Language Pathologist
Medicare: Medicare Enrolled
Practice Location: 1891 Station Pkwy Nw, Andover, MN 55304
Phone: 763-350-0371    
Kayla Braun,
Speech-Language Pathologist
Medicare: Not Enrolled in Medicare
Practice Location: 1891 Station Pkwy Nw, Andover, MN 55304
Phone: 763-755-4275    

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