JENNIFER LEMELLE
NPI 1104364512
Speech-Language Pathologist in Brooklyn, NY

NPI Status: Active since February 06, 2017

Contact Information

135 OCEAN PKWY
7M
BROOKLYN, NY
ZIP 11218
Phone: (718) 208-7371

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  • Individual
  • Female
  • Years of Experience 28
  • Speech-Language Pathologist
  • Accepts Insurance
  • Accepts Medicare Approved Payment

About JENNIFER LEMELLE

This page provides the complete NPI Profile along with additional information for Jennifer Lemelle, a provider established in Brooklyn, New York with a medical specialization in Speech-language Pathologist and more than 28 years of experience. The healthcare provider is registered in the NPI registry with number 1104364512 assigned on February 2017. The practitioner's primary taxonomy code is 235Z00000X. The provider is registered as an individual and her NPI record was last updated 9 years ago.

NPI
1104364512
Provider Name
JENNIFER LEMELLE
Gender
Female
Entity Type
Individual
Location Address
135 OCEAN PKWY 7M BROOKLYN, NY 11218
Location Phone
(718) 208-7371
Mailing Address
135 OCEAN PKWY 7M BROOKLYN, NY 11218
Medical School Name
OTHER
Graduation Year
1998
Is Sole Proprietor?
No
Enumeration Date
02-06-2017
Last Update Date
02-06-2017
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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
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:

  • Blue Advantage Bronze Basic | 3 Free PCP | $25 Tier 1 Rx | Integrated | Nationwide Doctors - PPO
  • Blue Advantage Bronze Complete | $60 PCP | $20 Tier 1 Rx | Nationwide Doctors - PPO
  • Blue Advantage Bronze HSA Eligible | Integrated | Nationwide Doctors - PPO
  • Blue Advantage Bronze Standard | Nationwide Doctors - PPO
  • Blue Advantage Gold Premier A | 3 Free PCP | $10 Tier 1 Rx | Nationwide Doctors - PPO
  • Blue Advantage Gold Standard A | Nationwide Doctors - PPO
  • Blue Advantage Silver Choice A | 3 Free PCP | $15 Tier 1 Rx | Nationwide Doctors - PPO
  • Blue Advantage Silver Preferred | 3 Free PCP | $10 Tier 1 Rx | Integrated | Nationwide Doctors - PPO
  • Blue Advantage Silver Standard | Nationwide Doctors - PPO
  • Blue Care Bronze Basic | 3 Free PCP | $25 Tier 1 Rx | Integrated | Statewide Doctors - HMO
  • Blue Care Bronze Complete | $60 PCP | $20 Tier 1 Rx | Statewide Doctors - HMO
  • Blue Care Bronze HSA Eligible | Integrated | Statewide Doctors - HMO
  • Blue Care Bronze Standard | Statewide Doctors - HMO
  • Blue Care Gold Premier A | 3 Free PCP | $10 Tier 1 Rx | Statewide Doctors - HMO
  • Blue Care Gold Standard A | Statewide Doctors - HMO
  • Blue Care Silver Choice A | 3 Free PCP | $15 Tier 1 Rx | Statewide Doctors - HMO
  • Blue Care Silver Preferred | 3 Free PCP | $10 Tier 1 Rx | Integrated | Statewide Doctors - HMO
  • Blue Care Silver Standard | Statewide Doctors - HMO

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Medicare Participation & PECOS Enrollment Status

Jennifer Lemelle 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: 244514164

    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: I20210624002583

    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.

Evaluation of speech sound production with evaluation of language comprehension and expression

This service involves assessing your ability to produce speech sounds and understand language. It also evaluates your ability to express yourself through language. It's a comprehensive review of your communication skills to identify any potential issues.

This service was performed 19 times for 13 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 17 times for 11 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 108 times for 11 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 99 times for 11 patients

Reviews for JENNIFER LEMELLE

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NPI NPI Number Validation

How NPI Validation Works

The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.

To verify the NPI 1104364512, we treat the final digit (2) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 58. The final step is to find the difference between that total and the next multiple of ten (60 - 58 = 2).

Digit-by-digit view

Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.

Pos 1
1
Doubled → 2
Pos 2
1
Unchanged
Pos 3
0
Doubled → 0
Pos 4
4
Unchanged
Pos 5
3
Doubled → 6
Pos 6
6
Unchanged
Pos 7
4
Doubled → 8
Pos 8
5
Unchanged
Pos 9
1
Doubled → 2
Check
2
Target digit
Regular digit Doubled digit Check digit

Step 1: Double every other digit from the right

Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.

1 → 2 0 → 0 3 → 6 4 → 8 1 → 2

Step 2: Add all digits plus the NPI constant

Add the transformed values, the unchanged digits, and the constant 24.

2 + 1 + 0 + 4 + 6 + 6 + 8 + 5 + 2 + 24 = 58

Step 3: Find the amount needed to reach the next multiple of 10

The next multiple of ten after 58 is 60. The difference is the calculated check digit.

60 - 58 = 2
This NPI is valid
The calculated check digit is 2, which matches the last digit of 1104364512.

Other Providers at the Same Location


The following 12 providers are registered at the same or a nearby location.

Internal Medicine (Endocrinology, Diabetes & Metabolism)
135 OCEAN PKWY, APT 1H
BROOKLYN, NY 11218
Psychiatry & Neurology (Psychiatry)
135 OCEAN PKWY, SUITE 1U
BROOKLYN, NY 11218
Counselor (Mental Health)
135 OCEAN PKWY, 1U
BROOKLYN, NY 11218
Internal Medicine
135 OCEAN PKWY, STE #1H
BROOKLYN, NY 11218
Psychiatry & Neurology (Neurology)
135 OCEAN PKWY, SUITE 1U
BROOKLYN, NY 11218
Counselor (Professional)
135 OCEAN PKWY, APT.17R
BROOKLYN, NY 11218
Physical Therapist (Pediatrics)
135 OCEAN PKWY, 17U
BROOKLYN, NY 11218
Internal Medicine
135 OCEAN PKWY, SIUTE 1R
BROOKLYN, NY 11218
Early Intervention Provider Agency
135 OCEAN PKWY, SUITE #3A
BROOKLYN, NY 11218
Internal Medicine
135 OCEAN PKWY, SUITE 1H
BROOKLYN, NY 11218
Psychologist (Clinical)
135 OCEAN PKWY
BROOKLYN, NY 11218
Psychologist (Clinical)
135 OCEAN PKWY
BROOKLYN, NY 11218

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1104364512, enumerated as an "individual" on February 06, 2017.

The provider is located at 135 OCEAN PKWY 7M BROOKLYN, NY 11218 and the phone number is (718) 208-7371.

Speech-Language Pathologist with taxonomy code 235Z00000X.

The provider might be accepting Accepts: Blue Cross and Blue Shield of NC. Please consult your insurance carrier or call the provider to verify.