Kiersten Shadle, - Medicare Speech-Language Pathologist in Hershey, PA

Kiersten Shadle, is a medicare enrolled "Speech-language Pathologist" provider in Hershey, Pennsylvania. Her current practice location is 1021 Springboard Dr, Hershey, Pennsylvania. You can reach out to her office (for appointments etc.) via phone at (717) 583-5102.

Kiersten Shadle is licensed to practice in Pennsylvania (license number SL014381) 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 1053878058.

Contact Information

Kiersten Shadle,
1021 Springboard Dr,
Hershey, PA 17033-8820
(717) 583-5102
Not Available



Healthcare Provider's Profile

Full NameKiersten Shadle
GenderFemale
SpecialitySpeech-language Pathologist
Location1021 Springboard Dr, Hershey, Pennsylvania
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1053878058
  • Provider Enumeration Date: 02/26/2019
  • Last Update Date: 02/26/2019
  Medicare PECOS Information:
  • PECOS PAC ID: 6709233513
  • Enrollment ID: I20231115001609

Medical Identifiers

Medical identifiers for Kiersten Shadle such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1053878058NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
235Z00000XSpeech-language Pathologist SL014381 (Pennsylvania)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. Kiersten Shadle allows following entities to bill medicare on her behalf.
Provider NameRehab1 Llc
Provider TypePart B Supplier - Clinic/group Practice
Provider IdentifiersNPI Number: 1902976855
PECOS PAC ID: 3173626272
Enrollment ID: O20070309000454

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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. Kiersten Shadle 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
Kiersten Shadle,
1021 Springboard Dr,
Hershey, PA 17033-8820

Ph: (717) 583-5102
Kiersten Shadle,
1021 Springboard Dr,
Hershey, PA 17033-8820

Ph: (717) 583-5102

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Speech-Language Pathologist in Hershey, PA

Mrs. Kristen Maurer, M.S., CCC-SLP
Speech-Language Pathologist
Medicare: Not Enrolled in Medicare
Practice Location: 500 University Dr, Mca410, Hershey, PA 17033
Phone: 800-243-1455    
Stephanie Ann Trump Johnston,
Speech-Language Pathologist
Medicare: Not Enrolled in Medicare
Practice Location: 40 W Caracas Ave, Hershey, PA 17033
Phone: 717-298-1185    
Ms. Joan W. Schwanger, M.S./CCC
Speech-Language Pathologist
Medicare: Not Enrolled in Medicare
Practice Location: 30 Hope Dr, Suite 1500, Hershey, PA 17033
Phone: 717-531-8070    Fax: 717-531-0138
Kimberly Weber, M.A. CCC-SLP
Speech-Language Pathologist
Medicare: Not Enrolled in Medicare
Practice Location: 431 E Chocolate Ave, Hershey, PA 17033
Phone: 717-533-1916    
Molly Ada Polacco, CCC-SLP
Speech-Language Pathologist
Medicare: Not Enrolled in Medicare
Practice Location: 500 University Dr # Mca410, Hershey, PA 17033
Phone: 800-243-1455    
Emily Katzaman, MS, CCC-SLP
Speech-Language Pathologist
Medicare: Not Enrolled in Medicare
Practice Location: 431 E Chocolate Ave, Hershey, PA 17033
Phone: 717-533-1916    

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