Raven Sandra Sobotka Zamora, AUD, CCC-A, FAAA is a medicare enrolled "Audiologist" provider in Shiprock, New Mexico. Her current practice location is
Us Hwy 491 North, Shiprock, New Mexico. You can reach out to her office (for appointments etc.) via phone at
(505) 368-6001.
Raven Sandra Sobotka Zamora is licensed to practice in Oregon (license number 030942) 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 1568576502.
Healthcare Provider's Profile
| Full Name | Raven Sandra Sobotka Zamora |
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| Gender | Female |
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| Speciality | Audiologist |
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| Location | Us Hwy 491 North, Shiprock, New Mexico |
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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: 1568576502
- Provider Enumeration Date: 08/18/2006
- Last Update Date: 06/30/2021
Medicare PECOS Information:
- PECOS PAC ID: 0840623377
- Enrollment ID: I20191213001332
Medical Identifiers
Medical identifiers for Raven Sandra Sobotka Zamora such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
| 1568576502 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
| 231H00000X | Audiologist | 030942 (Oregon) | 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. Raven Sandra Sobotka Zamora allows following entities to bill medicare on her behalf.
| Provider Name | Audiology Consultants Of Southern Oregon Inc |
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| Provider Type | Part B Supplier - Clinic/group Practice |
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| Provider Identifiers | NPI Number: 1003009325 PECOS PAC ID: 2062500929 Enrollment ID: O20071112000156 |
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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. Raven Sandra Sobotka Zamora 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 |
Raven Sandra Sobotka Zamora, AUD, CCC-A, FAAA Po Box 160, Shiprock, NM 87420-0160 Ph: (505) 368-6001 | Raven Sandra Sobotka Zamora, AUD, CCC-A, FAAA Us Hwy 491 North, Shiprock, NM 87420 Ph: (505) 368-6001 |
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