ELIZABETH LEMARK DUNCAN CCC-SLP
NPI 1033219993
Speech-Language Pathologist in Albany, NY
NPI Status: Active since September 22, 2006
Contact Information
314 S MANNING BLVD
ALBANY, NY
ZIP 12208
Phone: (518) 453-2273
- Individual
- Female
- Years of Experience 41
- Speech-Language Pathologist
- Accepts Medicare Approved Payment
About ELIZABETH LEMARK DUNCAN
This page provides the complete NPI Profile along with additional information for Elizabeth Lemark Duncan, a provider established in Albany, New York with a medical specialization in Speech-language Pathologist and more than 41 years of experience. The healthcare provider is registered in the NPI registry with number 1033219993 assigned on September 2006. The practitioner's primary taxonomy code is 235Z00000X with license number 005246 (NY). The provider is registered as an individual and her NPI record was last updated 7 years ago.
- NPI
- 1033219993
- Provider Name
- ELIZABETH LEMARK DUNCAN CCC-SLP
- Other Name
- ELIZABETH KERINS CCC-SLP
- Other Name Type
- Former Name (1)
- Gender
- Female
- Entity Type
- Individual
- Location Address
- 314 S MANNING BLVD ALBANY, NY 12208
- Location Phone
- (518) 453-2273
- Mailing Address
- 314 S MANNING BLVD ALBANY, NY 12208
- Medical School Name
- OTHER
- Graduation Year
- 1985
- Is Sole Proprietor?
- No
- Enumeration Date
- 09-22-2006
- Last Update Date
- 12-04-2018
- Code Navigator
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Speech-Language Pathologist
- Taxonomy Code
- 235Z00000X
- Type
- Speech, Language and Hearing Service Providers
- License No.
- 005246
- License State
- NY
- Taxonomy Description
- The speech-language pathologist is the professional who engages in clinical services, prevention, advocacy, education, administration, and research in the areas of communication and swallowing across the life span from infancy through geriatrics. Speech-language pathologists address typical and atypical impairments and disorders related to communication and swallowing in the areas of speech sound production, resonance, voice, fluency, language (comprehension and expression), cognition, and feeding and swallowing.
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
Additional Identifiers
The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.
Identifier | Type / Code | Identifier State | Identifier Issuer |
---|---|---|---|
005246 | OTHER (01) | NY | LICENSE |
02329326 | MEDICAID (05) | NY |
Medicare Participation & PECOS Enrollment Status
Elizabeth Lemark Duncan is registered with Medicare and accepts claims assignment, this means the provider accepts the approved amount for the cost of rendered services as full payment. Participating providers may not charge beneficiaries more than the approved amount for their services. Please keep in mind that beneficiaries still have to pay a coinsurance or copayment amount for a visit or service.
What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.
PECOS PAC ID: 8224176995
What is the PECOS Associate Control ID?
A PAC ID is a unique 10-digit number assigned to an individual or organization healthcare provider in PECOS. The PAC ID is used to link together all the provider information, like tax identification numbers and organizational names. A PAC ID can be connected to multiple Enrollment IDs if an individual or organization has enrolled in PECOS more than once.PECOS Enrollment ID: I20091118000003
What is the Provider Enrollment ID?
The Enrollment ID is a unique alphanumeric 15-digit code assigned to each new provider's PECOS enrollment application. The Enrollment ID is used to link together all the provider enrollment information like enrollment type, state, provider specialty, and reassignment of benefits.Accepts Medicare Assignment? Yes
What does it mean "accepts medicare assignment"?
When a provider accepts Medicare assignment, the provider agrees to be paid directly by Medicare and to accept the payment amount approved by Medicare. Additionally, the provider agrees to not bill patients for more than the Medicare deductible and coinsurance amounts.
A provider who doesn't accept assignment may charge you up to 15% over the Medicare-approved amount. This is known as the limiting charge. You may have to pay this amount, or it may be covered by another insurer.
Reviews for ELIZABETH LEMARK DUNCAN CCC-SLP
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NPI Validation Check Digit Calculation
The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.
Start with the original NPI number, the last digit is the check digit and is not used in the calculation. | |||||||||
1 | 0 | 3 | 3 | 2 | 1 | 9 | 9 | 9 | 3 |
Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
2 | 0 | 6 | 3 | 4 | 1 | 18 | 9 | 18 | |
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
2 + 0 + 6 + 3 + 4 + 1 + 1 + 8 + 9 + 1 + 8 + 24 = 67 | |||||||||
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
70 - 67 = 3 | 3 |
The NPI number 1033219993 is valid because the calculated check digit 3 using the Luhn validation algorithm matches the last digit of the original NPI number.
Other Providers at the Same Location
The following 20 providers are registered at the same or nearby location.
NPI | Name / Type | Taxonomy | Address |
---|---|---|---|
1790776391 | ANGELA L ALDAM MD Individual | Physical Medicine & Rehabilitation | 314 S MANNING BLVD ALBANY, NY 12208 (518) 437-5727 |
1255390126 | CHERYL BAILEY PT Individual | Physical Therapist | 314 S MANNING BLVD ALBANY, NY 12208 (518) 437-5717 |
1699737593 | LAURIE GAMBEE Individual | Dental Hygienist | 314 S MANNING BLVD ALBANY, NY 12208 (518) 437-5717 |
1518929488 | DANIEL SILVERMAN MD Individual | Psychiatry & Neurology (Neurology) | 314 S MANNING BLVD ALBANY, NY 12208 (518) 437-5717 |
1629031737 | PHYLLIS MICHAEL RN Individual | Registered Nurse | 314 S MANNING BLVD ALBANY, NY 12208 (518) 453-2273 |
1245293414 | MICHELLE BASHFORD RN Individual | Registered Nurse | 314 S MANNING BLVD ALBANY, NY 12208 (518) 453-2273 |
1538122304 | KATHLEEN BRANIGAN RN Individual | Registered Nurse | 314 S MANNING BLVD ALBANY, NY 12208 (518) 453-2273 |
1992769772 | SHARON KIRBY LCSW Individual | Social Worker | 314 S MANNING BLVD ALBANY, NY 12208 (518) 453-2273 |
1073578571 | THOMAS TUTTLE LCSW Individual | Social Worker | 314 S MANNING BLVD ALBANY, NY 12208 (518) 453-2273 |
1417912916 | DEBRA MOSKOWITZ CSW-R Individual | Social Worker | 314 S MANNING BLVD ALBANY, NY 12208 (518) 453-2273 |
1538124060 | REBECCA DIMOCK OTR Individual | Occupational Therapist | 314 S MANNING BLVD ALBANY, NY 12208 (518) 453-2273 |
1477518850 | ANDREA ROY OTR Individual | Occupational Therapist | 314 S MANNING BLVD ALBANY, NY 12208 (518) 453-2273 |
1942265319 | DAWN GALLAGHER COTA Individual | Occupational Therapy Assistant | 314 S MANNING BLVD ALBANY, NY 12208 (518) 453-2273 |
1801851191 | LEIGH REITZ OTR Individual | Occupational Therapist | 314 S MANNING BLVD ALBANY, NY 12208 (518) 453-2273 |
1578529483 | CHARLES SCHRAMM OTR Individual | Occupational Therapist | 314 S MANNING BLVD ALBANY, NY 12208 (518) 453-2273 |
1689630956 | DEBORAH DOMINIC OTR Individual | Occupational Therapist | 314 S MANNING BLVD ALBANY, NY 12208 (518) 453-2273 |
1942266226 | PAIGE DAVIS COTA Individual | Occupational Therapy Assistant | 314 S MANNING BLVD ALBANY, NY 12208 (518) 453-2273 |
1487610770 | LINDA ANDERSEN OTR Individual | Occupational Therapist | 314 S MANNING BLVD ALBANY, NY 12208 (518) 453-2273 |
1508822875 | CAROL MERRITT OTR Individual | Occupational Therapist | 314 S MANNING BLVD ALBANY, NY 12208 (518) 453-2273 |
1104884113 | LAURA HOSFORD LCSW-R Individual | Social Worker | 314 S MANNING BLVD ALBANY, NY 12208 (518) 453-2273 |
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1033219993, enumerated in the NPI registry as an "individual" on September 22, 2006
The provider is located at 314 S Manning Blvd Albany, Ny 12208 and the phone number is (518) 453-2273
The provider's speciality is Speech-Language Pathologist with taxonomy code 235Z00000X
The provider has more than 41 years of experience.
The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.
This NPI record was last updated on September 22, 2006. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
NPI Profile data is regularly updated with the latest NPI registry information, if you would like to update or remove your NPI Profile in this website please contact us.