Elyse Kirschblum, MA CCC-A is a medicare enrolled "Audiologist" provider in Willimantic, Connecticut. She graduated from medical school in 1987 and has 39 years of diverse experience with area of expertise as Qualified Audiologist. She is a member of the group practice Ear, Nose And Throat Associates Of Worcester, Inc. and her current practice location is
36 Watson St, Willimantic, Connecticut. You can reach out to her office (for appointments etc.) via phone at
(860) 456-0287.
Elyse Kirschblum is licensed to practice in Connecticut (license number 000208) 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 1316015464.
Healthcare Provider's Profile
| Full Name | Elyse Kirschblum |
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| Gender | Female |
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| Speciality | Qualified Audiologist |
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| Experience | 39 Years |
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| Location | 36 Watson St, Willimantic, Connecticut |
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| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Elyse Kirschblum graduated from medical school in 1987
NPI Data:
- NPI Number: 1316015464
- Provider Enumeration Date: 11/30/2006
- Last Update Date: 02/22/2018
Medicare PECOS Information:
- PECOS PAC ID: 3779647565
- Enrollment ID: I20090122000427
Medical Identifiers
Medical identifiers for Elyse Kirschblum such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1316015464 | NPI | - | NPPES |
| 1316015464 | Medicaid | CT | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 231H00000X | Audiologist | 000208 (Connecticut) | Primary |
| 237600000X | Audiologist-hearing Aid Fitter | 000208 (Connecticut) | Secondary |
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|
| Ear, Nose And Throat Associates Of Worcester, Inc. | 7416024419 | 4 |
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. Elyse Kirschblum allows following entities to bill medicare on her behalf.
| Provider Name | Ear, Nose & Throat Associates of Worcester, Inc. |
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| Provider Type | Part B Supplier - Clinic/group Practice |
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| Provider Identifiers | NPI Number: 1285620609
PECOS PAC ID: 7416024419
Enrollment ID: O20090519000142 |
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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. Elyse Kirschblum 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 |
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Elyse Kirschblum, MA CCC-A
79 Wawecus St,
Norwich, CT 06360-2160
Ph: (860) 886-6610 | Elyse Kirschblum, MA CCC-A
36 Watson St,
Willimantic, CT 06226-2122
Ph: (860) 456-0287 |
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