Gwen Geneen Washburn, MS, CCC-A is a medicare enrolled "Audiologist" provider in Hibbing, Minnesota. Her current practice location is
3605 Mayfair Ave, Hibbing, Minnesota. You can reach out to her office (for appointments etc.) via phone at
(218) 262-3441.
Gwen Geneen Washburn is licensed to practice in Minnesota (license number 7051) 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 1619929544.
Healthcare Provider's Profile
| Full Name | Gwen Geneen Washburn |
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| Gender | Female |
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| Speciality | Audiologist |
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| Location | 3605 Mayfair Ave, Hibbing, Minnesota |
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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: 1619929544
- Provider Enumeration Date: 05/17/2006
- Last Update Date: 10/06/2008
Medicare PECOS Information:
- PECOS PAC ID: 1254350390
- Enrollment ID: I20051117000304
Medical Identifiers
Medical identifiers for Gwen Geneen Washburn such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1619929544 | NPI | - | NPPES |
| 7051 | Other | MN | AUDIOLOGY LICENSE |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 231H00000X | Audiologist | 7051 (Minnesota) | Primary |
| 237700000X | Hearing Instrument Specialist | 7051 (Minnesota) | 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. Gwen Geneen Washburn allows following entities to bill medicare on her behalf.
| Provider Name | Range Regional Health Services |
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| Provider Type | Part B Supplier - Clinic/group Practice |
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| Provider Identifiers | NPI Number: 1669569265
PECOS PAC ID: 8022920024
Enrollment ID: O20031110000095 |
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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. Gwen Geneen Washburn 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 |
|---|
Gwen Geneen Washburn, MS, CCC-A
3605 Mayfair Ave,
Hibbing, MN 55746-2923
Ph: (218) 262-3441 | Gwen Geneen Washburn, MS, CCC-A
3605 Mayfair Ave,
Hibbing, MN 55746-2923
Ph: (218) 262-3441 |
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