Addison M Boardman, is a medicare enrolled "Audiologist" provider in East Chicago, Indiana. She graduated from medical school in 2020 and has 6 years of diverse experience with area of expertise as Qualified Audiologist. She is a member of the group practice Ent And Allergy Associates Of Florida, Llc and her current practice location is
4321 Fir St, East Chicago, Indiana. You can reach out to her office (for appointments etc.) via phone at
(219) 703-2460.
Addison M Boardman is licensed to practice in Indiana (license number ) 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 1447858527.
Healthcare Provider's Profile
| Full Name | Addison M Boardman |
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| Gender | Female |
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| Speciality | Qualified Audiologist |
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| Experience | 6 Years |
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| Location | 4321 Fir St, East Chicago, Indiana |
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| 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:
- Addison M Boardman graduated from medical school in 2020
NPI Data:
- NPI Number: 1447858527
- Provider Enumeration Date: 10/12/2020
- Last Update Date: 10/12/2020
Medicare PECOS Information:
- PECOS PAC ID: 8921418922
- Enrollment ID: I20240826003634
Medical Identifiers
Medical identifiers for Addison M Boardman such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
| 1447858527 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
| 231H00000X | Audiologist | (Indiana) | Primary |
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
| Ent And Allergy Associates Of Florida, Llc | 0042292849 | 210 |
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. Addison M Boardman allows following entities to bill medicare on her behalf.
| Provider Name | Ent And Allergy Associates Of Florida, Llc |
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| Provider Type | Part B Supplier - Clinic/group Practice |
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| Provider Identifiers | NPI Number: 1164473120 PECOS PAC ID: 0042292849 Enrollment ID: O20040604000553 |
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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. Addison M Boardman 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 |
Addison M Boardman, 4321 Fir St, East Chicago, IN 46312-3097 Ph: () - | Addison M Boardman, 4321 Fir St, East Chicago, IN 46312-3097 Ph: (219) 703-2460 |
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