Mrs Kelly Nicole Snow, CCC-SLP - Medicare Speech-Language Pathologist in Tualatin, OR

Mrs Kelly Nicole Snow, CCC-SLP is a medicare enrolled "Speech-language Pathologist" provider in Tualatin, Oregon. Her current practice location is 19250 Sw 65th Ave Ste 125, Tualatin, Oregon. You can reach out to her office (for appointments etc.) via phone at (503) 413-4505.

Mrs Kelly Nicole Snow is licensed to practice in Oregon (license number 015799) 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 1710558721.

Contact Information

Mrs Kelly Nicole Snow, CCC-SLP
19250 Sw 65th Ave Ste 125,
Tualatin, OR 97062-7745
(503) 413-4505
Not Available



Healthcare Provider's Profile

Full NameMrs Kelly Nicole Snow
GenderFemale
SpecialitySpeech-language Pathologist
Location19250 Sw 65th Ave Ste 125, Tualatin, Oregon
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1710558721
  • Provider Enumeration Date: 07/09/2021
  • Last Update Date: 07/09/2021
  Medicare PECOS Information:
  • PECOS PAC ID: 2961892047
  • Enrollment ID: I20211203001054

Medical Identifiers

Medical identifiers for Mrs Kelly Nicole Snow such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1710558721NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
235Z00000XSpeech-language Pathologist 015799 (Oregon)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. Mrs Kelly Nicole Snow allows following entities to bill medicare on her behalf.
Provider NameLegacy Meridian Park Hospital
Provider TypePart B Supplier - Clinic/group Practice
Provider IdentifiersNPI Number: 1184647620
PECOS PAC ID: 5092609842
Enrollment ID: O20040211001181

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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. Mrs Kelly Nicole Snow 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
Mrs Kelly Nicole Snow, CCC-SLP
4766 Se Rockwood St,
Milwaukie, OR 97222-5016

Ph: (562) 756-7586
Mrs Kelly Nicole Snow, CCC-SLP
19250 Sw 65th Ave Ste 125,
Tualatin, OR 97062-7745

Ph: (503) 413-4505

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Acetaminophen (otherwise known by brand names such as Tylenol) is one of the most widely used pain relievers.

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Speech-Language Pathologist in Tualatin, OR

Ms. Janell Elizabeth Wismer, SLP
Speech-Language Pathologist
Medicare: Not Enrolled in Medicare
Practice Location: 19500 Sw 90th Ct, Tualatin, OR 97062
Phone: 503-614-1336    
Kaitlin Emily Jernstedt,
Speech-Language Pathologist
Medicare: Not Enrolled in Medicare
Practice Location: 19250 Sw 65th Ave Ste 125, Tualatin, OR 97062
Phone: 503-692-1670    
Sarah Breeze, CCC-SLP
Speech-Language Pathologist
Medicare: Medicare Enrolled
Practice Location: 19185 Sw 90th Ave, Tualatin, OR 97062
Phone: 800-813-2000    
Cinthia Marie Adair, M.S., CCC-SLP
Speech-Language Pathologist
Medicare: Not Enrolled in Medicare
Practice Location: 19300 Sw 65th Ave, Tualatin, OR 97062
Phone: 503-692-1212    
Nicole Kristine Beck, MA CCC-SLP
Speech-Language Pathologist
Medicare: Not Enrolled in Medicare
Practice Location: 19250 Sw 65th Ave, Medical Plaza 1, Suite 125, Tualatin, OR 97062
Phone: 503-692-1783    
Kaycee Lynn Owens, MS CC SLP
Speech-Language Pathologist
Medicare: Medicare Enrolled
Practice Location: 19250 Sw 65th Ave Ste 125, Tualatin, OR 97062
Phone: 503-692-1670    
Molly Ann Prideaux,
Speech-Language Pathologist
Medicare: Medicare Enrolled
Practice Location: 19185 Sw 90th Ave, Tualatin, OR 97062
Phone: 503-885-7300    

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