Mrs Carissa Kucala, AUD in St Louis Park, MN - Medicare Qualified Audiologist Provider

Mrs Carissa Kucala, AUD is a medicare enrolled "Audiologist" provider in St Louis Park, Minnesota. She graduated from medical school in 2011 and has 13 years of diverse experience with area of expertise as Qualified Audiologist. She is a member of the group practice Park Nicollet Clinic and her current practice location is 3800 Park Nicollet Blvd, St Louis Park, Minnesota. You can reach out to her office (for appointments etc.) via phone at (952) 993-1478.

Mrs Carissa Kucala is licensed to practice in Minnesota (license number 8610) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1831480607.

Contact Information

	Mrs Carissa Kucala, AUD
	3800 Park Nicollet Blvd, St Louis Park, MN 55416-2527
	(952) 993-1478
	(952) 993-1250

Map and Direction

Healthcare Provider's Profile

Full Name	Mrs Carissa Kucala
Gender	Female
Speciality	Qualified Audiologist
Experience	13 Years
Location	3800 Park Nicollet Blvd, St Louis Park, Minnesota
Accepts Medicare Assignments	Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Mrs Carissa Kucala graduated from medical school in 2011

NPI Data:

NPI Number: 1831480607
Provider Enumeration Date: 04/27/2011
Last Update Date: 07/14/2016

Medicare PECOS Information:

PECOS PAC ID: 9830368588
Enrollment ID: I20110815000067

Medical Identifiers

Medical identifiers for Mrs Carissa Kucala such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1831480607	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
231H00000X	Audiologist	8610 (Minnesota)	Primary

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Park Nicollet Clinic	7911819438	1529

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Mrs Carissa Kucala allows following entities to bill medicare on her behalf.

Provider Name	Park Nicollet Clinic
Provider Type	Part B Supplier - Clinic/group Practice
Provider Identifiers	NPI Number: 1780621904 PECOS PAC ID: 7911819438 Enrollment ID: O20031104000046

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Mrs Carissa Kucala is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
Mrs Carissa Kucala, AUD 3800 Park Nicollet Blvd, St Louis Park, MN 55416-2527 Ph: (952) 993-1478	Mrs Carissa Kucala, AUD 3800 Park Nicollet Blvd, St Louis Park, MN 55416-2527 Ph: (952) 993-1478

Reviews and Comments

Audiologist in St Louis Park, MN

Mr. Jeffery Allen Dodds, CCC-A Audiologist Medicare: Accepting Medicare Assignments Practice Location: 3800 Park Nicollet Blvd, St Louis Park, MN 55416 Phone: 952-993-1250
Jennifer Marie Lien, MA Audiologist Medicare: Not Enrolled in Medicare Practice Location: 3800 Park Nicollet Blvd, St Louis Park, MN 55416 Phone: 952-993-3886 Fax: 952-993-1250
Ms. Katrina Joy Bruemmer Balvance, MA Audiologist Medicare: Not Enrolled in Medicare Practice Location: 3800 Park Nicollet Blvd, St Louis Park, MN 55416 Phone: 952-993-1880
Mrs. Janene Marie Widen, CCC-A Audiologist Medicare: Accepting Medicare Assignments Practice Location: 3800 Park Nicollet Blvd, St Louis Park, MN 55416 Phone: 952-993-1250
Sarah June Nordberg, AU.D. Audiologist Medicare: Accepting Medicare Assignments Practice Location: 3800 Park Nicollet Blvd, St Louis Park, MN 55416 Phone: 952-993-1880 Fax: 952-993-1250
Mrs. Anne Meath Jackson, CCC-A Audiologist Medicare: Not Enrolled in Medicare Practice Location: 3800 Park Nicollet Blvd, St Louis Park, MN 55416 Phone: 952-993-1880
Mrs. Molly Ann Mcconnell, AU.D. Audiologist Medicare: Accepting Medicare Assignments Practice Location: 3800 Park Nicollet Blvd, St Louis Park, MN 55416 Phone: 952-993-1880

Mrs Carissa Kucala, AUD - Medicare Audiologist in St Louis Park, MN