Jenelle Helene Ezcurra Sandy, AUD - Medicare Audiologist in South Lake Tahoe, CA

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Jenelle Helene Ezcurra Sandy, AUD is a medicare enrolled "Audiologist" provider in South Lake Tahoe, California. Her current practice location is 2074 Lake Tahoe Blvd, South Lake Tahoe, California. You can reach out to her office (for appointments etc.) via phone at (530) 318-4010.

Jenelle Helene Ezcurra Sandy is licensed to practice in California (license number AU3526) 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 1548548357.

Contact Information

Jenelle Helene Ezcurra Sandy, AUD
2074 Lake Tahoe Blvd,
South Lake Tahoe, CA 96150-6407
(530) 318-4010
Not Available

Map and Direction




Healthcare Provider's Profile

Full NameJenelle Helene Ezcurra Sandy
GenderFemale
SpecialityAudiologist
Location2074 Lake Tahoe Blvd, South Lake Tahoe, California
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1548548357
  • Provider Enumeration Date: 07/27/2011
  • Last Update Date: 03/22/2022
  Medicare PECOS Information:
  • PECOS PAC ID: 3476929910
  • Enrollment ID: I20221027000055

Medical Identifiers

Medical identifiers for Jenelle Helene Ezcurra Sandy such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1548548357NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
231H00000XAudiologist 147001386 (Illinois)Secondary
231H00000XAudiologist A3154 (Nevada)Secondary
231H00000XAudiologist AU3526 (California)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. Jenelle Helene Ezcurra Sandy allows following entities to bill medicare on her behalf.
Provider NameTahoe Family Hearing Clinic, Pc
Provider TypePart B Supplier - Clinic/group Practice
Provider IdentifiersNPI Number: 1306595715
PECOS PAC ID: 2567838006
Enrollment ID: O20221025000316

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. Jenelle Helene Ezcurra Sandy 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 AddressPractice Location Address
Jenelle Helene Ezcurra Sandy, AUD
1285 Apache Ave # 306,
South Lake Tahoe, CA 96155-7672

Ph: (530) 318-4010		Jenelle Helene Ezcurra Sandy, AUD
2074 Lake Tahoe Blvd,
South Lake Tahoe, CA 96150-6407

Ph: (530) 318-4010

Reviews and Comments


Audiologist in South Lake Tahoe, CA

Tahoe Family Hearing Clinic, Pc
Audiologist
Medicare: Medicare Enrolled
Practice Location: 2074 Lake Tahoe Blvd, South Lake Tahoe, CA 96150
Phone: 530-318-4010    
Danielle Marie Knowlton, MA, FAAA
Audiologist
Medicare: Not Enrolled in Medicare
Practice Location: 2169 South Ave, South Lake Tahoe, CA 96150
Phone: 530-543-5815    Fax: 530-544-3875

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.