MARY B. BLUE MA,CCC-SLP
NPI 1710117478
Speech-Language Pathologist in Summerville, SC
About Mary B. Blue Ma,ccc-slp NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MARY B. BLUE MA,CCC-SLP (NPI 1710117478) is an individual speech-language pathologist provider in Summerville, South Carolina, licensed in South Carolina (3781) and active in the NPI registry since July 2009. She is a graduate of Other (1980).
NPPES Registry Identity
Specialties & Licenses
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
Mary B. Blue Ma,ccc-slp 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.
Medicare Billing Reassignment
Medicare enrollment records show Mary Blue reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
East Tawas, MI 48730
- Reassigned Medicare billing, Michigan enrollment
- 7 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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 Mary Blue's NPI number?
The NPI number for Mary Blue is 1710117478. It was assigned to this individual provider in the NPPES registry on July 16, 2009.
Where is Mary Blue located?
Mary Blue practices at 111 Oakdale Dr, Summerville, SC 29483. The listed phone number is (843) 303-2881.
What is Mary Blue's specialty?
The primary specialty registered for this NPI is Speech-Language Pathologist with taxonomy code 235Z00000X.
Is Mary Blue enrolled in Medicare?
Yes. Mary Blue 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 Mary Blue's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Mary Blue reassigns Medicare benefits to Michelle Lynn Therapy Plc (East Tawas, MI). 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 Mary Blue'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 Mary Blue was last updated on July 16, 2009. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 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.
# Mary B. Blue, MA,CCC-SLP · NPI 1710117478
Speech-Language Pathologist provider in Summerville, South Carolina. Individual provider, active in the CMS NPPES registry since July 16, 2009.
## Identity
- **NPI:** 1710117478 (Entity type: Individual)
- **Enumerated:** July 16, 2009
- **Primary specialty:** Speech-Language Pathologist · taxonomy 235Z00000X
- **State license:** 3781 (South Carolina)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 111 OAKDALE DR, Summerville, SC 29483-2819
- **Phone:** (843) 303-2881
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Bills Medicare through:** Michelle Lynn Therapy Plc (NPI 1033729603, East Tawas, MI), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 1980
## Record status
- **NPPES last updated:** July 16, 2009
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Source: [NPI Profile](https://npiprofile.com/npi/1710117478) · Data from the CMS NPPES public registry.