Kourtney Soderholm, - Medicare Speech-Language Pathologist in Redmond, WA

Kourtney Soderholm, is a medicare enrolled "Speech-language Pathologist" provider in Redmond, Washington. Her current practice location is 8301 161st Ave Ne, Redmond, Washington. You can reach out to her office (for appointments etc.) via phone at (425) 882-4347.

Kourtney Soderholm is licensed to practice in * (Not Available) (license number ) 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 1649997230.

Contact Information

Kourtney Soderholm,
8301 161st Ave Ne,
Redmond, WA 98052-3858
(425) 882-4347
Not Available



Healthcare Provider's Profile

Full NameKourtney Soderholm
GenderFemale
SpecialitySpeech-language Pathologist
Location8301 161st Ave Ne, Redmond, Washington
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1649997230
  • Provider Enumeration Date: 10/24/2022
  • Last Update Date: 10/24/2022
  Medicare PECOS Information:
  • PECOS PAC ID: 4587029848
  • Enrollment ID: I20230420002654

Medical Identifiers

Medical identifiers for Kourtney Soderholm such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1649997230NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
235Z00000XSpeech-language Pathologist (* (Not Available))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. Kourtney Soderholm allows following entities to bill medicare on her behalf.
Provider NameEvergreen Speech Clinic Inc
Provider TypePart B Supplier - Clinic/group Practice
Provider IdentifiersNPI Number: 1346474731
PECOS PAC ID: 0840429718
Enrollment ID: O20140219000759

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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. Kourtney Soderholm 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
Kourtney Soderholm,
8301 161st Ave Ne,
Redmond, WA 98052-3858

Ph: () -
Kourtney Soderholm,
8301 161st Ave Ne,
Redmond, WA 98052-3858

Ph: (425) 882-4347

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Speech-Language Pathologist in Redmond, WA

Ms. Constance Essinger, M.ED.
Speech-Language Pathologist
Medicare: Not Enrolled in Medicare
Practice Location: 17272 Ne 104th St, Redmond, WA 98052
Phone: 425-936-1800    Fax: 425-936-1810
Peregrine Therapy, Pllc
Speech-Language Pathologist
Medicare: Not Enrolled in Medicare
Practice Location: 16770 Ne 79th St Ste 105, Redmond, WA 98052
Phone: 425-689-8570    Fax: 425-689-7521
Maivy Ho,
Speech-Language Pathologist
Medicare: Medicare Enrolled
Practice Location: 8301 161st Ave Ne Ste 208, Redmond, WA 98052
Phone: 425-882-4347    Fax: 425-883-0043
Julie M Horace Carlson,
Speech-Language Pathologist
Medicare: Not Enrolled in Medicare
Practice Location: 8301 161st Ave Ne, #203, Redmond, WA 98052
Phone: 425-882-4347    Fax: 425-883-0043
Kristen Leucuta,
Speech-Language Pathologist
Medicare: Not Enrolled in Medicare
Practice Location: 15325 Redmond Way Apt I2101, Redmond, WA 98052
Phone: 630-946-9026    
Sarah Summer Mckim Thomas, M.A., CCC-SLP
Speech-Language Pathologist
Medicare: Not Enrolled in Medicare
Practice Location: 16720 Redmond Way Ste G, Redmond, WA 98052
Phone: 206-486-2906    Fax: 509-821-9219
Colette Moss, SLP
Speech-Language Pathologist
Medicare: Not Enrolled in Medicare
Practice Location: 5606 159th Pl Ne, Redmond, WA 98052
Phone: 425-883-3730    

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