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PATRICK BEASLEY
NPI 1073342499
Speech-Language Pathologist in Saint Clair Shores, MI

Active since August 01, 2024Accepts Medicare Assignment
21000 E 12 MILE RD STE 111, SAINT CLAIR SHORES, MI 48081(586) 779-7610 Get Directions Write a Review

NPPES record last updated: August 1, 2024. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Patrick Beasley NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

PATRICK BEASLEY (NPI 1073342499) is an individual speech-language pathologist provider in Saint Clair Shores, Michigan, licensed in Michigan (7152000935) and active in the NPI registry since August 2024. He is a graduate of Other (2024).

NPPES Registry Identity

NPI1073342499
Entity TypeIndividualMale
Primary Taxonomy235Z00000X
Provider Legal NamePATRICK BEASLEY
Location Address21000 E 12 MILE RD STE 111Saint Clair Shores, MI 48081-1156
Mailing Address21000 E 12 Mile Rd Ste 111Saint Clair Shores, MI 48081-1156 · (586) 779-7610
Phone(586) 779-7610
Sole ProprietorNo
Medical School CMSOtherGraduated 2024
Enumeration DateAugust 1, 2024
NPPES CertifiedAugust 1, 2024
✔ NPI 1073342499 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpeech-Language PathologistSpeech, Language and Hearing Service Providers
Taxonomy Code235Z00000X
License✔ Licensed in MI · 7152000935
Definition
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.
21000 E 12 MILE RD STE 111, Saint Clair Shores, MI 48081
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Patrick Beasley is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID3870012735
PECOS Enrollment IDI20250522003132

Medicare Billing Reassignment

Medicare enrollment records show Patrick Beasley reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

University Of Minnesota Health Clinics And Surgery Center Inc
543 mi
Anesthesiology
909 FULTON ST SE
Minneapolis, MN 55455
  • Reassigned Medicare billing, Minnesota enrollment
  • 1,662 clinicians in this Medicare group
NPI 1003485004 (612) 273-8383

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Other Providers at the Same Location NPPES 15

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. ANDREW BENNETT SEWELL M.D.
Otolaryngology (Plastic Surgery within the Head & Neck)
21000 E 12 MILE RD STE 111
SAINT CLAIR SHORES, MI 48081
Macomb County (586) 779-7610
OLIVIA KATHERINE LANGSDORF
Speech-Language Pathologist
21000 E 12 MILE RD STE 111
SAINT CLAIR SHORES, MI 48081
Macomb County (586) 779-7610
RYAN MICHAEL BENNINGER AU.D., CCC-A
Audiologist
21000 E 12 MILE RD STE 111
SAINT CLAIR SHORES, MI 48081
Macomb County (586) 779-7610
ADAM CRAIG FRY
Speech-Language Pathologist
21000 E 12 MILE RD STE 111
SAINT CLAIR SHORES, MI 48081
Macomb County (586) 779-7610
TAYLOR DARDEN
Speech-Language Pathologist
21000 E 12 MILE RD STE 111
SAINT CLAIR SHORES, MI 48081
Macomb County (267) 403-9375
CHARLES NUDELMAN
Speech-Language Pathologist
21000 E 12 MILE RD STE 111
SAINT CLAIR SHORES, MI 48081
Macomb County (224) 545-2641
ANNE MAYNARD
Audiologist
21000 E 12 MILE RD STE 111
SAINT CLAIR SHORES, MI 48081
Macomb County (586) 779-7610
MS. MIRA J BROOKS AU.D. CCC-A
Audiologist-Hearing Aid Fitter
21000 E 12 MILE RD STE 111
SAINT CLAIR SHORES, MI 48081
Macomb County (586) 779-2400

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Patrick Beasley's NPI number?

The NPI number for Patrick Beasley is 1073342499. It was assigned to this individual provider in the NPPES registry on August 1, 2024.

Where is Patrick Beasley located?

Patrick Beasley practices at 21000 E 12 Mile Rd Ste 111, Saint Clair Shores, MI 48081. The listed phone number is (586) 779-7610.

What is Patrick Beasley's specialty?

The primary specialty registered for this NPI is Speech-Language Pathologist with taxonomy code 235Z00000X.

Is Patrick Beasley enrolled in Medicare?

Yes. Patrick Beasley is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organization bills Medicare for Patrick Beasley's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Patrick Beasley reassigns Medicare benefits to University Of Minnesota Health Clinics And Surgery Center Inc (Minneapolis, MN). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Patrick Beasley's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Patrick Beasley was last updated on August 1, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.