Dr Kelly Marie Halligan, AUD is a medicare enrolled "Audiologist" provider in Fairplay, Colorado. Her current practice location is
620 Main St, 102, Fairplay, Colorado. You can reach out to her office (for appointments etc.) via phone at
(719) 838-0328.
Dr Kelly Marie Halligan is licensed to practice in Colorado (license number AUD20) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1730152570.
Healthcare Provider's Profile
| Full Name | Dr Kelly Marie Halligan |
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| Gender | Female |
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| Speciality | Audiologist |
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| Location | 620 Main St, Fairplay, Colorado |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
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NPI Data:
- NPI Number: 1730152570
- Provider Enumeration Date: 02/10/2006
- Last Update Date: 07/17/2014
Medicare PECOS Information:
- PECOS PAC ID: 4981668647
- Enrollment ID: I20041116000847
Medical Identifiers
Medical identifiers for Dr Kelly Marie Halligan such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1730152570 | NPI | - | NPPES |
| 47821230 | Medicaid | CO | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 231H00000X | Audiologist | AUD20 (Colorado) | Primary |
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. Dr Kelly Marie Halligan allows following entities to bill medicare on her behalf.
| Provider Name | Gkh Holdings |
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| Provider Type | Part B Supplier - Clinic/group Practice |
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| Provider Identifiers | NPI Number: 1790002483
PECOS PAC ID: 7810951571
Enrollment ID: O20041112001172 |
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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. Dr Kelly Marie Halligan 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 |
|---|
Dr Kelly Marie Halligan, AUD
Po Box 1295,
Fairplay, CO 80440-1295
Ph: (719) 838-0328 | Dr Kelly Marie Halligan, AUD
620 Main St, 102,
Fairplay, CO 80440-1295
Ph: (719) 838-0328 |
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