Dr Mariah Carlson, AUD is a medicare enrolled "Audiologist" provider in Saint Charles, Illinois. Her current practice location is
2210 Dean St Ste L, Saint Charles, Illinois. You can reach out to her office (for appointments etc.) via phone at
(630) 377-5000.
Dr Mariah Carlson is licensed to practice in * (Not Available) (license number ) 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 1124665229.
Healthcare Provider's Profile
| Full Name | Dr Mariah Carlson |
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| Gender | Female |
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| Speciality | Audiologist |
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| Location | 2210 Dean St Ste L, Saint Charles, Illinois |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1124665229
- Provider Enumeration Date: 12/08/2019
- Last Update Date: 01/11/2022
Medicare PECOS Information:
- PECOS PAC ID: 1052704772
- Enrollment ID: I20220201002702
Medical Identifiers
Medical identifiers for Dr Mariah Carlson such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
| 1124665229 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
| 231H00000X | Audiologist | (* (Not Available)) | 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 Mariah Carlson allows following entities to bill medicare on her behalf.
| Provider Name | Fox Valley Ear, Nose And Throat, Assoc., S.c. |
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| Provider Type | Part B Supplier - Clinic/group Practice |
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| Provider Identifiers | NPI Number: 1851326797 PECOS PAC ID: 7517858764 Enrollment ID: O20040324001421 |
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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 Mariah Carlson 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 Mariah Carlson, AUD 2210 Dean St Ste L, Saint Charles, IL 60175-1059 Ph: (630) 461-9833 | Dr Mariah Carlson, AUD 2210 Dean St Ste L, Saint Charles, IL 60175-1059 Ph: (630) 377-5000 |
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