Keeley Coffee, AUD in Twin Falls, ID - Medicare Audiologist Provider

Keeley Coffee, AUD is a medicare enrolled "Audiologist" provider in Twin Falls, Idaho. Her current practice location is 625 Pole Line Rd W Ste 2b, Twin Falls, Idaho. You can reach out to her office (for appointments etc.) via phone at (208) 814-7350.

Keeley Coffee is licensed to practice in Idaho (license number AUD-6429) 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 1194568824.

Contact Information

	Keeley Coffee, AUD
	625 Pole Line Rd W Ste 2b, Twin Falls, ID 83301-4270
	(208) 814-7350
	(208) 732-8508

Map and Direction

Healthcare Provider's Profile

Full Name	Keeley Coffee
Gender	Female
Speciality	Audiologist
Location	625 Pole Line Rd W Ste 2b, Twin Falls, Idaho
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1194568824
Provider Enumeration Date: 06/18/2024
Last Update Date: 07/23/2024

Medicare PECOS Information:

PECOS PAC ID: 6608313408
Enrollment ID: I20240729004358

Medical Identifiers

Medical identifiers for Keeley Coffee such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1194568824	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
231H00000X	Audiologist	AUD-6429 (Idaho)	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. Keeley Coffee allows following entities to bill medicare on her behalf.

Provider Name	St Lukes Clinic Llc
Provider Type	Part B Supplier - Clinic/group Practice
Provider Identifiers	NPI Number: 1790718229 PECOS PAC ID: 1052217478 Enrollment ID: O20031208000899

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. Keeley Coffee 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
Keeley Coffee, AUD 190 E Bannock St, Boise, ID 83712-6241 Ph: () -	Keeley Coffee, AUD 625 Pole Line Rd W Ste 2b, Twin Falls, ID 83301-4270 Ph: (208) 814-7350

Reviews and Comments

Audiologist in Twin Falls, ID

South Idaho Hearing & Audiology Audiologist Medicare: Not Enrolled in Medicare Practice Location: 1330 Filer Ave E, Twin Falls, ID 83301 Phone: 208-734-4555 Fax: 208-734-3632
Shane Lloyd Hunsaker, AUD Audiologist Medicare: Accepting Medicare Assignments Practice Location: 459 Locust St N Ste 110, Twin Falls, ID 83301 Phone: 208-734-8263 Fax: 208-938-5306
Daniele J Ruhter, MS Audiologist Medicare: Medicare Enrolled Practice Location: 706 N College Rd, Suite C, Twin Falls, ID 83301 Phone: 208-735-1000 Fax: 208-732-5345
Sarah Johnson, AUD Audiologist Medicare: Not Enrolled in Medicare Practice Location: 625 Pole Line Rd W Ste 2b, Twin Falls, ID 83301 Phone: 208-814-7350
Mary Konneker, AU.D. Audiologist Medicare: Accepting Medicare Assignments Practice Location: 625 Pole Line Rd W, Twin Falls, ID 83301 Phone: 208-814-7350
Vanessa Snow, AUD Audiologist Medicare: Medicare Enrolled Practice Location: 625 Pole Line Rd W Ste 2b, Twin Falls, ID 83301 Phone: 208-814-7350

Keeley Coffee, AUD - Medicare Audiologist in Twin Falls, ID