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Patrick Beasley

Speech-Language Pathologist • Saint Clair Shores, MI

Active NPI 1073342499 Individual Practitioner Male Practitioner Accepts Medicare assignment Telehealth (some services)
Practice location in NPPES

21000 E 12 Mile Rd Ste 111
Saint Clair Shores, MI 480811156

Call 5867797610 Location details and other listings
Medical Disclaimer

This profile restates public CMS/NPPES data; T-MedInfo gives no medical advice — consult a licensed professional, and call 911 for emergencies.

Practice Location & Contact Primary Location

Practice Address

21000 E 12 Mile Rd Ste 111

Saint Clair Shores, MI 480811156

Telephone 5867797610
Organization at the Same NPPES Address or Phone
Henry Ford Health St. John Hospital Facility NPI 1376820605

Matched by practice address or phone in NPPES. A shared address or phone does not confirm that this clinician works there.

Other Listings in Public Data

CMS Doctors and Clinicians lists 1 group name: University Of Minnesota Health Clinics And Surgery Center Inc. See the list

Source: CMS Doctors and Clinicians National Downloadable File, release date unavailable.

Listings do not confirm current availability, employment or a shared ownership network.

Medicare Profile & Education

Source: CMS Doctors and Clinicians National Downloadable File

Graduation Year

2024

Years since graduation

2 years (graduated 2024)

CMS Doctors and Clinicians data list 2024 as the year this clinician finished professional school.

What this does not show: Years since graduation

It is not the number of years in practice, and more years does not mean better care.

Source: CMS Doctors and Clinicians National Downloadable File.

NPI first issued

2024

The year this clinician's National Provider Identifier (NPI) was issued. An NPI is a unique 10-digit ID that US health care providers use for billing.

What this does not show: NPI first issued

NPIs have been issued only since 2005, so this year is not necessarily when the clinician started practicing.

Source: CMS NPPES NPI Registry.

Accepts Medicare assignment

CMS data list this clinician as accepting Medicare assignment. This means agreeing to take the Medicare-approved amount as full payment for covered services.

Medicare assignment applies to Original Medicare. It does not tell you whether the clinician is in a Medicare Advantage plan's network, accepts other insurance, or is taking new patients.

Source: CMS Doctors and Clinicians; Medicare.gov, “Does your provider accept Medicare as full payment?”

Guide: What Medicare assignment means

Telehealth (some services)

Recent Medicare claims show this clinician provided some services by telehealth, such as a video or phone visit.

What this does not show: Telehealth (some services)

It does not mean all services are offered by telehealth, or that telehealth is covered by your plan.

Source: CMS, Telehealth Indicator on Medicare Care Compare (fact sheet, January 2023); CMS Doctors and Clinicians.

Guide: How Medicare covers telehealth

Enrolled in Medicare (PECOS)

Patrick Beasley has a Medicare enrollment record in PECOS, the CMS system clinicians use to enroll so they can bill Medicare or order services for people with Medicare.

It does not show whether the clinician accepts assignment, is in your plan's network, or is taking new patients.

Source: CMS Medicare Fee-For-Service Public Provider Enrollment (PECOS); CMS Order and Referring file.

Guide: What Medicare enrollment (PECOS) means

Compared with the same specialty in Saint Clair Shores and Michigan

28 active clinicians are listed under Speech-Language Pathologist with a practice address in Saint Clair Shores, MI (3,736 in Michigan).

Addresses are self-reported to NPPES and may be out of date.

Telehealth indicator in Saint Clair Shores

10.7% of these 28 clinicians have the CMS telehealth indicator.

21.4% of these 28 clinicians are listed by CMS as accepting Medicare assignment.

Sources: CMS Doctors and Clinicians, CMS NPPES NPI Registry. Specialty names follow the NUCC Health Care Provider Taxonomy.

Text: T-MedInfo · Report an error.

Specialties & License Numbers Reported to NPPES

Self-certified to NPPES: 2024-08-01
Speech-Language Pathologist Primary Specialty

NUCC Taxonomy Code: 235Z00000X

License # reported to NPPES MI 7152000935

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.

Check License Status with the State Board License numbers are self-reported to NPPES; T-MedInfo does not confirm them against state records. Current status: Michigan Department of Licensing and Regulatory Affairs.
Look Up on State Board Site

Medicare (PECOS) Enrollment & Ordering Eligibility

Source: CMS PECOS
Medicare FFS Enrollment Status Medicare Enrollment on File
CMS Provider Specialty

PRACTITIONER - QUALIFIED SPEECH LANGUAGE PATHOLOGIST

Medicare Enrollment ID

I20250522003132

Enrollment State Jurisdiction

MN

PECOS Control ID

3870012735

Sources: CMS Provider Enrollment and Order and Referring. Medicare enrollment is a billing status, not an accreditation or quality rating.

Medicare Group Practice Enrollments

Source: CMS Doctors and Clinicians National Downloadable File

University Of Minnesota Health Clinics And Surgery Center Inc

909 Fulton St Se, Minneapolis, MN 554554800

Phone: 6126727422

Clinicians Sharing This Practice Address or Phone

Clinicians sharing this NPPES address, phone or fax; a shared contact does not mean they work together.

15 listed
Dr. Robert Brammer , MD

Otolaryngology - Otology & Neurotology

NPI 1659464782

Doctor of Medicine (M.D.)

Dr. Andrew Dzul , MD

Otolaryngology - Otolaryngic Allergy

NPI 1295828358

Doctor of Medicine (M.D.)

Dr. Robert Fishman , MD

Otolaryngology - Pediatric Otolaryngology

NPI 1881786341

Doctor of Medicine (M.D.)

Dr. Michael Fozo , MD

Otolaryngology - Plastic Surgery within the Head & Neck

NPI 1114019627

Doctor of Medicine (M.D.)

NPI 1669868402

Doctor of Medicine (M.D.)

Sneha John , RN, NP

Nurse Practitioner

NPI 1770270860

Registered Nurse, Nurse Practitioner

Career & Practice History

NPI enumerated August 01, 2024.

No changes to the name, practice address, taxonomy or NPI status in this record have been observed in the monthly NPPES data files from August 2024 to August 2026.

No reviews have been published yet. Leave a review.

NPI Administrative Meta

NPI Number: 1073342499
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: August 01, 2024
Last Update: August 01, 2024
Sole Proprietor: No

Mailing Address

21000 E 12 Mile Rd Ste 111

Saint Clair Shores, MI 480811156

Phone: 5867797610

About This Data NPPES fields (address, phone, specialty, license) are self-reported and may be outdated; Medicare fields follow the CMS dataset named in each section. Correct directly at NPPES.