Dr Raena Sue Deperry, AUD in Hudson, WI - Medicare Qualified Audiologist Provider

Dr Raena Sue Deperry, AUD is a medicare enrolled "Audiologist" provider in Hudson, Wisconsin. She graduated from medical school in 2007 and has 17 years of diverse experience with area of expertise as Qualified Audiologist. She is a member of the group practice Jka5 Hudson Inc and her current practice location is 401 Stageline Rd, Ste. 6, Hudson, Wisconsin. You can reach out to her office (for appointments etc.) via phone at (715) 531-6710.

Dr Raena Sue Deperry is licensed to practice in Wisconsin (license number 515-156) 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 1114018447.

Contact Information

	Dr Raena Sue Deperry, AUD
	401 Stageline Rd, Ste. 6, Hudson, WI 54016-7897
	(715) 531-6710
	(715) 531-6711

Map and Direction

Healthcare Provider's Profile

Full Name	Dr Raena Sue Deperry
Gender	Female
Speciality	Qualified Audiologist
Experience	17 Years
Location	401 Stageline Rd, Hudson, Wisconsin
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:

Dr Raena Sue Deperry graduated from medical school in 2007

NPI Data:

NPI Number: 1114018447
Provider Enumeration Date: 09/28/2006
Last Update Date: 12/12/2007

Medicare PECOS Information:

PECOS PAC ID: 5092896233
Enrollment ID: I20080114000841

Medical Identifiers

Medical identifiers for Dr Raena Sue Deperry such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1114018447	NPI	-	NPPES
849410000	Other	MN	MHCP

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
231H00000X	Audiologist	8072 (Micronesia)	Secondary
231H00000X	Audiologist	515-156 (Wisconsin)	Primary

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Jka5 Hudson Inc	1850661075	3

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 Raena Sue Deperry allows following entities to bill medicare on her behalf.

Provider Name	Jka5 Hudson Inc
Provider Type	Part B Supplier - Clinic/group Practice
Provider Identifiers	NPI Number: 1417484239 PECOS PAC ID: 1850661075 Enrollment ID: O20170720003052

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 Raena Sue Deperry 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 Raena Sue Deperry, AUD 1119 State St Apt 164, River Falls, WI 54022-3403 Ph: (715) 426-0223	Dr Raena Sue Deperry, AUD 401 Stageline Rd, Ste. 6, Hudson, WI 54016-7897 Ph: (715) 531-6710

Reviews and Comments

Audiologist in Hudson, WI

Mrs. Deirdre Ann Worrell, MS Audiologist Medicare: Not Enrolled in Medicare Practice Location: 1516 North Ridge Dr, Hudson, WI 54016 Phone: 715-386-1760
Amdahl Hearing Audiologist Medicare: Medicare Enrolled Practice Location: 411 Stageline Rd # 290, Hudson, WI 54016 Phone: 715-531-6710
Mrs. Michele Anne Drevnick, M.S., F-AAA Audiologist Medicare: Not Enrolled in Medicare Practice Location: 401 Stageline Rd, Suite 6, Hudson, WI 54016 Phone: 715-531-6710 Fax: 715-531-6711
Samuel A Schultz, AUD Audiologist Medicare: Medicare Enrolled Practice Location: 411 Stageline Rd # 290, Hudson, WI 54016 Phone: 715-531-6710 Fax: 920-965-4801
Hudson Hearing & Speech Clinic Inc Audiologist Medicare: Not Enrolled in Medicare Practice Location: 401 Stageline Rd, Suite 6, Hudson, WI 54016 Phone: 715-531-6710 Fax: 715-531-6711
Dr. Kari Nicole Hancher, AUD Audiologist Medicare: Accepting Medicare Assignments Practice Location: 411 Stageline Rd, Hudson, WI 54016 Phone: 715-531-6710

Dr Raena Sue Deperry, AUD - Medicare Audiologist in Hudson, WI