Mrs Kimberly A Griffith, SLP - Medicare Speech-Language Pathologist in Fort Wayne, IN

Mrs Kimberly A Griffith, SLP is a medicare enrolled "Speech-language Pathologist" provider in Fort Wayne, Indiana. Her current practice location is 6205 Constitution Dr, Fort Wayne, Indiana. You can reach out to her office (for appointments etc.) via phone at (260) 438-3586.

Mrs Kimberly A Griffith is licensed to practice in Indiana (license number 22002279A) 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 1033393079.

Contact Information

Mrs Kimberly A Griffith, SLP
6205 Constitution Dr,
Fort Wayne, IN 46804-1517
(260) 438-3586
(877) 992-0273



Healthcare Provider's Profile

Full NameMrs Kimberly A Griffith
GenderFemale
SpecialitySpeech-language Pathologist
Location6205 Constitution Dr, Fort Wayne, Indiana
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1033393079
  • Provider Enumeration Date: 12/27/2007
  • Last Update Date: 02/27/2018
  Medicare PECOS Information:
  • PECOS PAC ID: 1951663848
  • Enrollment ID: I20180312001865

Medical Identifiers

Medical identifiers for Mrs Kimberly A Griffith such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1033393079NPI-NPPES
200681320AOtherINFIRST STEPS
200681320AMedicaidIN

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
235Z00000XSpeech-language Pathologist 22002279A (Indiana)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 Kimberly A Griffith allows following entities to bill medicare on her behalf.
Provider NameFunctional Oral Motor And Feeding Concepts Llc
Provider TypePart B Supplier - Clinic/group Practice
Provider IdentifiersNPI Number: 1952665416
PECOS PAC ID: 0042572935
Enrollment ID: O20180312001540

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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 Kimberly A Griffith 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 Kimberly A Griffith, SLP
6205 Constitution Dr,
Fort Wayne, IN 46804-1517

Ph: (260) 438-3586
Mrs Kimberly A Griffith, SLP
6205 Constitution Dr,
Fort Wayne, IN 46804-1517

Ph: (260) 438-3586

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Speech-Language Pathologist in Fort Wayne, IN

Michelle A Ludlow, SLP
Speech-Language Pathologist
Medicare: Not Enrolled in Medicare
Practice Location: 808 Mill Lake Rd, Fort Wayne, IN 46845
Phone: 260-338-1241    Fax: 260-338-1231
Josie Lyn Johnson, SLP
Speech-Language Pathologist
Medicare: Medicare Enrolled
Practice Location: 5250 Heritage Pkwy, Fort Wayne, IN 46835
Phone: 260-209-6279    
Linda Sue Sickman, PH.D., CCC-SLP
Speech-Language Pathologist
Medicare: Not Enrolled in Medicare
Practice Location: 1717 Maplecrest Rd, Fort Wayne, IN 46815
Phone: 260-493-0012    
Jennifer Lynn Garrett,
Speech-Language Pathologist
Medicare: Not Enrolled in Medicare
Practice Location: 6329 Mapledowns Dr, Fort Wayne, IN 46835
Phone: 260-433-7903    
Jennifer Wilson, CCC-SLP
Speech-Language Pathologist
Medicare: Not Enrolled in Medicare
Practice Location: 808 Mill Lake Rd, Fort Wayne, IN 46845
Phone: 260-338-1241    Fax: 260-338-1231
Mrs. Toni Walker Blackwood, M.S., CCC-SLP
Speech-Language Pathologist
Medicare: Not Enrolled in Medicare
Practice Location: 1923 Brandywine Trl, Fort Wayne, IN 46845
Phone: 260-637-3117    

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