Susan Fackler, - Medicare Speech-Language Pathologist in Brandenburg, KY

Susan Fackler, is a medicare enrolled "Speech-language Pathologist" provider in Brandenburg, Kentucky. Her current practice location is 1966 Garrett Rd, Brandenburg, Kentucky. You can reach out to her office (for appointments etc.) via phone at (502) 648-7696.

Susan Fackler is licensed to practice in Kentucky (license number SLPINP00216497) 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 1588054589.

Contact Information

Susan Fackler,
1966 Garrett Rd,
Brandenburg, KY 40108-6343
(502) 648-7696
Not Available



Healthcare Provider's Profile

Full NameSusan Fackler
GenderFemale
SpecialitySpeech-language Pathologist
Location1966 Garrett Rd, Brandenburg, Kentucky
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1588054589
  • Provider Enumeration Date: 01/28/2015
  • Last Update Date: 03/03/2020
  Medicare PECOS Information:
  • PECOS PAC ID: 7416322367
  • Enrollment ID: I20230407000667

Medical Identifiers

Medical identifiers for Susan Fackler such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1588054589NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
235Z00000XSpeech-language Pathologist SLPINP00216497 (Kentucky)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. Susan Fackler allows following entities to bill medicare on her behalf.
Provider NameCapacity Care,inc
Provider TypePart B Supplier - Other
Provider IdentifiersNPI Number: 1790972768
PECOS PAC ID: 9830561869
Enrollment ID: O20230220002542

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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. Susan Fackler 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
Susan Fackler,
1966 Garrett Rd,
Brandenburg, KY 40108-6343

Ph: (502) 648-7696
Susan Fackler,
1966 Garrett Rd,
Brandenburg, KY 40108-6343

Ph: (502) 648-7696

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Speech-Language Pathologist in Brandenburg, KY

Mrs. Lisa G Tindell, SLP
Speech-Language Pathologist
Medicare: Not Enrolled in Medicare
Practice Location: 814 Old Ekron Rd, Brandenburg, KY 40108
Phone: 270-422-2148    Fax: 270-422-4791
Mrs. Erin Percefull Jarvis, SLP
Speech-Language Pathologist
Medicare: Not Enrolled in Medicare
Practice Location: 116 Warbler Rd, Brandenburg, KY 40108
Phone: 270-422-8198    Fax: 270-422-8197
Milestones Speech Therapy Llc
Speech-Language Pathologist
Medicare: Not Enrolled in Medicare
Practice Location: 1966 Garrett Rd, Brandenburg, KY 40108
Phone: 502-648-7696    
Mrs. Melissa G Bland, CCC/SLP
Speech-Language Pathologist
Medicare: Not Enrolled in Medicare
Practice Location: 97 Rolling Ridge Ct, Brandenburg, KY 40108
Phone: 502-641-4945    

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