Dr Tina Medley Proffit, AUD is a medicare enrolled "Audiologist-hearing Aid Fitter" provider in Galax, Virginia. Her current practice location is
8052 Carrollton Pike, Galax, Virginia. You can reach out to her office (for appointments etc.) via phone at
(276) 236-0778.
Dr Tina Medley Proffit is licensed to practice in Virginia (license number 2101001685) 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 1699769638.
Healthcare Provider's Profile
| Full Name | Dr Tina Medley Proffit |
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| Gender | Female |
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| Speciality | Audiologist-hearing Aid Fitter |
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| Location | 8052 Carrollton Pike, Galax, Virginia |
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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: 1699769638
- Provider Enumeration Date: 09/06/2005
- Last Update Date: 02/03/2009
Medicare PECOS Information:
- PECOS PAC ID: 1850797457
- Enrollment ID: I20210907003168
Medical Identifiers
Medical identifiers for Dr Tina Medley Proffit such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1699769638 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 231H00000X | Audiologist | 6346 (North Carolina) | Secondary |
| 237600000X | Audiologist-hearing Aid Fitter | 2101001685 (Virginia) | Primary |
| 237600000X | Audiologist-hearing Aid Fitter | NC1129 (North Carolina) | Secondary |
| 231H00000X | Audiologist | 2201001359 (Virginia) | Secondary |
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 Tina Medley Proffit allows following entities to bill medicare on her behalf.
| Provider Name | Anderson Audiology |
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| Provider Type | Part B Supplier - Clinic/group Practice |
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| Provider Identifiers | NPI Number: 1629168414
PECOS PAC ID: 3375685753
Enrollment ID: O20100122000594 |
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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 Tina Medley Proffit 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 Tina Medley Proffit, AUD
8052 Carrollton Pike,
Galax, VA 24333-6087
Ph: (276) 236-0778 | Dr Tina Medley Proffit, AUD
8052 Carrollton Pike,
Galax, VA 24333-6087
Ph: (276) 236-0778 |
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