MRS. KRISTINA MARIE GUERETTE
NPI 1225387368
Speech-Language Pathologist in Waterville, ME
NPI Status: Active since September 05, 2012
Contact Information
163 SILVER ST
WATERVILLE, ME
ZIP 04901
Phone: (207) 877-2498
Fax: (207) 877-7459
- Individual
- Female
- Years of Experience 15
- Speech-Language Pathologist
- Accepts Insurance
- Accepts Medicare Approved Payment
About KRISTINA GUERETTE
This page provides the complete NPI Profile along with additional information for Kristina Guerette, a provider established in Waterville, Maine with a medical specialization in Speech-language Pathologist and more than 15 years of experience. The healthcare provider is registered in the NPI registry with number 1225387368 assigned on September 2012. The practitioner's primary taxonomy code is 235Z00000X with license number SP2169 (ME). The provider is registered as an individual and her NPI record was last updated 13 years ago.
- NPI
- 1225387368
- Provider Name
- MRS. KRISTINA MARIE GUERETTE
- Gender
- Female
- Entity Type
- Individual
- Location Address
- 163 SILVER ST WATERVILLE, ME 04901
- Location Phone
- (207) 877-2498
- Location Fax
- (207) 877-7459
- Mailing Address
- 40 ROBINSON ST FAIRFIELD, ME 04937
- Medical School Name
- OTHER
- Graduation Year
- 2011
- Is Sole Proprietor?
- Yes
- Enumeration Date
- 09-05-2012
- Last Update Date
- 09-05-2012
- 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.
- SP2169
- License State
- ME
- 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:
- Anthem Bronze Access Blue New England HMO 5000/10%/8000 w/HSA - HMO
- Anthem Bronze Access Blue New England HMO 5000/20%/8000 w/HSA - HMO
- Anthem Bronze Access Blue New England HMO 6500/30%/9200 Value - HMO
- Anthem Bronze Access Blue New England HMO 7000/50%/8000 w/HSA - HMO
- Anthem Bronze Access Blue New England HMO 8500/50%/9200 - HMO
- Anthem Gold Access Blue New England HMO 1000/20%/7500 - HMO
- Anthem Gold Access Blue New England HMO 2000/0%/6500 RxD - HMO
- Anthem Gold Access Blue New England HMO 2000/10%/4600 w/HSA - HMO
- Anthem Gold Access Blue New England HMO 2000/10%/7500 - HMO
- Anthem Gold Access Blue New England HMO 2000/20%/4600 w/HSA - HMO
- Anthem Gold Access Blue New England HMO 3000/0%/5500 RxD - HMO
- Anthem Gold Access Blue New England HMO 500/25%/7000 - HMO
- Anthem Platinum Access Blue New England HMO 250/10%/3500 - HMO
- Anthem Silver Access Blue New England HMO 2000/30%/9000 Value - HMO
- Anthem Silver Access Blue New England HMO 3000/20%/8500 - HMO
- Anthem Silver Access Blue New England HMO 3000/30%/9000 Value - HMO
- Anthem Silver Access Blue New England HMO 3500/20%/7250 w/HSA - HMO
- Anthem Silver Access Blue New England HMO 4000/0%/8500 - HMO
- Anthem Silver Access Blue New England HMO 4000/0%/8500 RxD - HMO
- Anthem Silver Access Blue New England HMO 4000/10%/7250 w/HSA - HMO
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
Medicare Participation & PECOS Enrollment Status
Kristina Guerette 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: 4082090691
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: I20221005002906
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.
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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 | 2 | 2 | 5 | 3 | 8 | 7 | 3 | 6 | 8 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 2 | 4 | 5 | 6 | 8 | 14 | 3 | 12 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 2 + 4 + 5 + 6 + 8 + 1 + 4 + 3 + 1 + 2 + 24 = 62 | |||||||||
| Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
| 70 - 62 = 8 | 8 | ||||||||
The NPI number 1225387368 is valid because the calculated check digit 8 using the Luhn validation algorithm matches the last digit of the original NPI number.
Other Providers at the Same Location
The following 6 providers are registered at the same or nearby location.
| NPI | Name / Type | Taxonomy | Address |
|---|---|---|---|
| 1720217003 | CHILD DEVELOPMENT SERVICES Organization | Early Intervention Provider Agency | 163 SILVER ST WATERVILLE, ME 04901 (207) 877-2498 |
| 1184853095 | MRS. BARBARA BROWNE SLP-CCC Individual | Speech-Language Pathologist | 163 SILVER ST WATERVILLE, ME 04901 (207) 877-2498 |
| 1245460757 | ANNE M BEAULIEU COTA/L Individual | Occupational Therapy Assistant | 163 SILVER ST WATERVILLE, ME 04901 (207) 877-2498 |
| 1235466434 | JULIE YVONNE BRAUNE OTR/L Individual | Occupational Therapist (Pediatrics) | 163 SILVER ST WATERVILLE, ME 04901 (208) 877-2498 |
| 1538483896 | MRS. CHARLENE MARIE SOUTHWICK M.S., CCC-SLP Individual | Speech-Language Pathologist | 163 SILVER ST WATERVILLE, ME 04901 (207) 877-2498 |
| 1528368362 | MRS. ELIZABETH PIERCE POTTER Individual | Specialist/Technologist (Speech-Language Assistant) | 163 SILVER ST WATERVILLE, ME 04901 (207) 877-2498 |
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1225387368, enumerated in the NPI registry as an "individual" on September 05, 2012
The provider is located at 163 Silver St Waterville, Me 04901 and the phone number is (207) 877-2498
The provider's speciality is Speech-Language Pathologist with taxonomy code 235Z00000X
The provider has more than 15 years of experience.
The provider might be accepting Accepts: Anthem Blue Cross and Blue Shield. 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 05, 2012. 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.