Jacqueline Nicole Maxam, in Appleton, WI - Medicare Audiologist Provider

Jacqueline Nicole Maxam, is a medicare enrolled "Audiologist" provider in Appleton, Wisconsin. Her current practice location is 1520 N Meade St, Appleton, Wisconsin. You can reach out to her office (for appointments etc.) via phone at (920) 734-7181.

Jacqueline Nicole Maxam is licensed to practice in Wisconsin (license number 471-156) 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 1407055528.

Contact Information

	Jacqueline Nicole Maxam,
	1520 N Meade St, Appleton, WI 54911-3762
	(920) 734-7181
	(920) 734-0621

Map and Direction

Healthcare Provider's Profile

Full Name	Jacqueline Nicole Maxam
Gender	Female
Speciality	Audiologist
Location	1520 N Meade St, Appleton, Wisconsin
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1407055528
Provider Enumeration Date: 07/18/2007
Last Update Date: 10/12/2011

Medicare PECOS Information:

PECOS PAC ID: 3476644063
Enrollment ID: I20070810000724

Medical Identifiers

Medical identifiers for Jacqueline Nicole Maxam such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1407055528	NPI	-	NPPES
41150900	Medicaid	WI

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
231H00000X	Audiologist	471-156 (Wisconsin)	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. Jacqueline Nicole Maxam allows following entities to bill medicare on her behalf.

Provider Name	Ear Nose & Throat Surgical Associates Sc
Provider Type	Part B Supplier - Clinic/group Practice
Provider Identifiers	NPI Number: 1629094214 PECOS PAC ID: 5991803702 Enrollment ID: O20070601000252

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. Jacqueline Nicole Maxam 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
Jacqueline Nicole Maxam, 1520 N Meade St, Appleton, WI 54911-3762 Ph: (920) 734-7181	Jacqueline Nicole Maxam, 1520 N Meade St, Appleton, WI 54911-3762 Ph: (920) 734-7181

Reviews and Comments

Audiologist in Appleton, WI

Haviland Hearing Aids Inc. Audiologist Medicare: Medicare Enrolled Practice Location: 1336 E Wisconsin Ave, Appleton, WI 54911 Phone: 920-733-7525
Mr. Peter John Zellmer, M.S., CCC-A Audiologist Medicare: Medicare Enrolled Practice Location: 1336 E Wisconsin Ave, Appleton, WI 54911 Phone: 920-733-7525 Fax: 920-730-9403
Audiology And Hearing Services Of The Fox Cities Audiologist Medicare: Medicare Enrolled Practice Location: 2245 S Oneida St, Appleton, WI 54915 Phone: 920-731-9611 Fax: 920-731-1950
Brittany Uitenbroek, AU.D. Audiologist Medicare: Accepting Medicare Assignments Practice Location: W3124 Van Roy Rd, Appleton, WI 54915 Phone: 920-915-9077
Amy J Rietz, AUD Audiologist Medicare: Not Enrolled in Medicare Practice Location: 1501 S Madison St, Appleton, WI 54915 Phone: 920-730-4443
Dr. Stephanie Roberts Long, AUD DOCTOR AUDILOGY Audiologist Medicare: Accepting Medicare Assignments Practice Location: W3124 Van Roy Rd, Appleton, WI 54915 Phone: 920-915-9077

Jacqueline Nicole Maxam, - Medicare Audiologist in Appleton, WI