Ent & Audiology Associates Pllc is a medicare enrolled "Otolaryngology" provider in Raleigh, North Carolina. Their current practice location is
3820 Ed Dr, Raleigh, North Carolina. You can reach out to their office (for appointments etc.) via phone at
(919) 782-9003.
Ent & Audiology Associates Pllc is licensed to practice in * (Not Available) (license number ) and it also participates in the medicare program. Ent & Audiology Associates Pllc
is enrolled with medicare and should accept medicare assignments and since they are enrolled in medicare, they may order Medicare Part D Prescription drugs, if eligible. The facility's NPI Number is 1629046479.
Healthcare Provider's Profile
| Full Name | Ent & Audiology Associates Pllc |
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| Type | Facility |
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| Speciality | Otolaryngology |
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| Location | 3820 Ed Dr, Raleigh, North Carolina |
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| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
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NPI Data:
- NPI Number: 1629046479
- Provider Enumeration Date: 03/09/2006
- Last Update Date: 04/28/2008
Medicare PECOS Information:
- PECOS PAC ID: 7113996141
- Enrollment ID: O20080428000394
Medical Identifiers
Medical identifiers for Ent & Audiology Associates Pllc such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1629046479 | NPI | - | NPPES |
| 02194 | Other | NC | BCBS |
| 8901957 | Medicaid | NC | |
| 38863 | Other | NC | WELLPATH |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 231H00000X | Audiologist | (* (Not Available)) | Secondary |
| 207Y00000X | Otolaryngology | (* (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.
Ent & Audiology Associates Pllc acts as a billing entity for following providers:
| Provider Name | Douglas K Holmes |
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| Provider Type | Practitioner - Otolaryngology |
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| Provider Identifiers | NPI Number: 1861460156
PECOS PAC ID: 2668441692
Enrollment ID: I20080428000388 |
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| Provider Name | Travis Duane Quiller |
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| Provider Type | Practitioner - Qualified Audiologist |
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| Provider Identifiers | NPI Number: 1679736680
PECOS PAC ID: 8527135136
Enrollment ID: I20150108001569 |
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| Provider Name | Heather Michelle Sprague |
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| Provider Type | Practitioner - Qualified Audiologist |
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| Provider Identifiers | NPI Number: 1275089690
PECOS PAC ID: 0547518318
Enrollment ID: I20180810000674 |
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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. Ent & Audiology Associates Pllc 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 |
|---|
Ent & Audiology Associates Pllc
3820 Ed Dr,
Raleigh, NC 27612-8037
Ph: (919) 782-9003 | Ent & Audiology Associates Pllc
3820 Ed Dr,
Raleigh, NC 27612-8037
Ph: (919) 782-9003 |
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