HAILEY ENGLERT SLP
NPI 1013519461
Speech-Language Pathologist in La Jolla, CA

Medicare Participation & PECOS Enrollment Status

Hailey Englert 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: 7113329475

  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: I20210708001981

  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.

Areas of Expertise

The following services and procedures, recently provided to Medicare patients, illustrate the range of care this provider offers. This list reflects the variety of services available to all patients visiting the practice and is based on 2022 Medicare dataset. In general, the more frequently a provider treats specific conditions or performs particular procedures, the more experienced they become in addressing similar patient needs. The provider has delivered many of the services listed below to Medicare patients. Please note that this list does not include services provided to patients who are not covered by Medicare.

Analysis of voice and resonance production

Analysis of voice and resonance production is a medical procedure that evaluates your voice and the quality of sound produced when you speak. It helps identify any abnormalities or changes in your voice, which could be due to various health conditions.

This service was performed 14 times for 14 patients

Evaluation of speech sound production

Evaluation of speech sound production involves assessing how well you can produce and articulate sounds. This can help identify any issues with your speech such as lisping, stuttering, or other speech disorders. The evaluation is conducted by a speech-language pathologist.

This service was performed 15 times for 15 patients

Evaluation of swallowing function

Evaluation of swallowing function is a medical procedure that assesses your ability to swallow food and drink safely. This involves studying the muscles and nerves involved in swallowing. It helps identify any issues that might lead to difficulties in eating or drinking.

This service was performed 19 times for 19 patients

Evaluation of swallowing function image

An evaluation of swallowing function image is a diagnostic procedure. It involves capturing images of your throat as you swallow. This helps identify any issues with swallowing, which could be due to various conditions like stroke, cancer, or nerve disease.

This service was performed 74 times for 74 patients

Test to assess the ability to complete specific functional tasks applicable to environment

This is a test that measures your ability to perform certain tasks that are relevant to your daily life and environment. It evaluates how well you can manage activities like cooking, cleaning, or shopping. It doesn't involve any invasive procedures.

This service was performed 36 times for 20 patients

Therapy procedure for a range of mental processes, each additional 15 minutes

This therapy procedure focuses on improving mental processes. Each additional 15-minute segment allows for a deeper understanding of your thoughts, feelings, and behaviors. The goal is to enhance your mental well-being and overall quality of life.

This service was performed 152 times for 14 patients

Therapy procedure for a range of mental processes, initial 15 minutes

This therapy session, lasting 15 minutes, focuses on improving your mental processes. It's an initial step towards understanding your mental health needs. The therapist will engage in conversation, listen to your concerns, and help identify areas for improvement.

This service was performed 72 times for 22 patients

Treatment of speech, language, voice, communication, and/or hearing processing disorder

This treatment involves working with a specialist to improve communication skills. It could involve exercises to enhance speech clarity, language understanding, voice volume, or hearing comprehension. The goal is to enhance your ability to express and understand others effectively.

This service was performed 114 times for 29 patients

Treatment of swallowing and feeding disorder

Treatment for swallowing and feeding disorders involves a team of specialists who will work together to improve your ability to eat and drink safely. This may include exercises to strengthen swallowing muscles, dietary changes, or special techniques to make swallowing easier.

This service was performed 150 times for 91 patients

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Frequently Asked Questions