John Reimbold is a
Audiologist based in Carbondale, Illinois. John Reimbold is licensed to practice in Illinois (license number 147000156) and their current practice location is
1717 W Main Street, Carbondale, Illinois. It can be reached at their office (for appointments etc.) via phone at
(618) 457-6643.
NPI number for John Reimbold is 1508870585 and their current mailing address is Po Box 1058, 1717 W Main Street, Carbondale, Illinois. John Reimbold
does not participate in medicare program and thus does not accept medicare assignments. The facility's NPI Number is 1508870585.
Healthcare Provider's Profile
| Full Name | John Reimbold |
|---|
| Type | Facility |
|---|
| Speciality | Audiologist |
|---|
| Location | 1717 W Main Street, Carbondale, Illinois |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. The facility may not accept medicare assignment. |
|---|
NPI Data:
- NPI Number: 1508870585
- Provider Enumeration Date: 07/28/2006
- Last Update Date: 10/13/2022
Medical Identifiers
Medical identifiers for John Reimbold such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1508870585 | NPI | - | NPPES |
| 359446176001 | Medicaid | IL | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 231H00000X | Audiologist | 147001158 (Illinois) | Secondary |
| 231H00000X | Audiologist | 147000788 (Illinois) | Secondary |
| 231H00000X | Audiologist | (* (Not Available)) | Secondary |
| 237700000X | Hearing Instrument Specialist | 0394 (Illinois) | Secondary |
| 332B00000X | Durable Medical Equipment & Medical Supplies | 2354 (Illinois) | Secondary |
| 231H00000X | Audiologist | 147000156 (Illinois) | Primary |
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. John Reimbold is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
John Reimbold
Po Box 1058, 1717 W Main Street,
Carbondale, IL 62903-1058
Ph: (618) 457-6643 | John Reimbold
1717 W Main Street,
Carbondale, IL 62901
Ph: (618) 457-6643 |
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