Karissa Rutten, MS CCC-SLP in Mountain Home, ID - Medicare Speech-Language Pathologist Provider

Karissa Rutten, MS CCC-SLP is a medicare enrolled "Speech-language Pathologist" provider in Mountain Home, Idaho. Her current practice location is 245 N 3rd E, Mountain Home, Idaho. You can reach out to her office (for appointments etc.) via phone at (208) 587-8255.

Karissa Rutten is licensed to practice in Idaho (license number TSLP-2595) 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 1144638636.

Contact Information

	Karissa Rutten, MS CCC-SLP
	245 N 3rd E, Mountain Home, ID 83647-2734
	(208) 587-8255
	(208) 587-4475

Healthcare Provider's Profile

Full Name	Karissa Rutten
Gender	Female
Speciality	Speech-language Pathologist
Location	245 N 3rd E, Mountain Home, Idaho
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1144638636
Provider Enumeration Date: 07/28/2014
Last Update Date: 10/10/2018

Medicare PECOS Information:

PECOS PAC ID: 1456672062
Enrollment ID: I20150608003063

Medical Identifiers

Medical identifiers for Karissa Rutten such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1144638636	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
235Z00000X	Speech-language Pathologist	TSLP-2595 (Idaho)	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. Karissa Rutten allows following entities to bill medicare on her behalf.

Provider Name	Advanced Therapy Care Pllc
Provider Type	Part B Supplier - Clinic/group Practice
Provider Identifiers	NPI Number: 1477786358 PECOS PAC ID: 6406049469 Enrollment ID: O20101022000150

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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. Karissa Rutten 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
Karissa Rutten, MS CCC-SLP 245 N 3rd E, Mountain Home, ID 83647-2734 Ph: (208) 587-8255	Karissa Rutten, MS CCC-SLP 245 N 3rd E, Mountain Home, ID 83647-2734 Ph: (208) 587-8255

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Speech-Language Pathologist in Mountain Home, ID

Miss Terri Lynn Grasham, Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 245 N 3rd E, Mountain Home, ID 83647 Phone: 208-587-8255 Fax: 208-587-4475
Teresa Michelle Johnson, MS CF-SLP Speech-Language Pathologist Medicare: Accepting Medicare Assignments Practice Location: 245 N 3rd E, Mountain Home, ID 83647 Phone: 208-587-8255
Rachelle Ruffing, MSCCC SLP Speech-Language Pathologist Medicare: Accepting Medicare Assignments Practice Location: 245 N 3rd E, Mountain Home, ID 83647 Phone: 208-599-2536 Fax: 208-587-5734
Ms. Anna Gale Estes-waddell, M.A., CCC-SLP Speech-Language Pathologist Medicare: Medicare Enrolled Practice Location: 1653 Se Hamilton Rd, Mountain Home, ID 83647 Phone: 208-587-4658
Makenzi Walsh, Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 245 N 3rd E, Mountain Home, ID 83647 Phone: 208-898-0988
Jessica Cristobal, MS, CCC-SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 245 N 3rd E, Mountain Home, ID 83647 Phone: 208-587-8255

Karissa Rutten, MS CCC-SLP - Medicare Speech-Language Pathologist in Mountain Home, ID

Contact Information

Healthcare Provider's Profile

Medical Identifiers

Medical Taxonomies and Licenses

Medicare Reassignments

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Medicare Part D Prescriber Enrollment

Mailing Address and Practice Location

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Speech-Language Pathologist in Mountain Home, ID