Kelsey N Fairbanks, AUD in Virginia, MN - Medicare Audiologist Provider

Kelsey N Fairbanks, AUD is a medicare enrolled "Audiologist" provider in Virginia, Minnesota. Her current practice location is 1101 9th St N, Virginia, Minnesota. You can reach out to her office (for appointments etc.) via phone at (218) 305-0000.

Kelsey N Fairbanks is licensed to practice in Minnesota (license number 528649) 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 1710723341.

Contact Information

	Kelsey N Fairbanks, AUD
	1101 9th St N, Virginia, MN 55792-2329
	(218) 305-0000
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Kelsey N Fairbanks
Gender	Female
Speciality	Audiologist
Location	1101 9th St N, Virginia, Minnesota
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1710723341
Provider Enumeration Date: 07/03/2024
Last Update Date: 09/10/2024

Medicare PECOS Information:

PECOS PAC ID: 3476094491
Enrollment ID: I20240918001150

Medical Identifiers

Medical identifiers for Kelsey N Fairbanks such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1710723341	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
231H00000X	Audiologist	528649 (Minnesota)	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. Kelsey N Fairbanks allows following entities to bill medicare on her behalf.

Provider Name	The Duluth Clinic Ltd
Provider Type	Part B Supplier - Clinic/group Practice
Provider Identifiers	NPI Number: 1902563638 PECOS PAC ID: 2567374283 Enrollment ID: O20031103000229

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. Kelsey N Fairbanks 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
Kelsey N Fairbanks, AUD 400 E 3rd St, Duluth, MN 55805-1951 Ph: () -	Kelsey N Fairbanks, AUD 1101 9th St N, Virginia, MN 55792-2329 Ph: (218) 305-0000

Reviews and Comments

Audiologist in Virginia, MN

Ms. Jessica Rae Tichy, AUD Audiologist Medicare: Medicare Enrolled Practice Location: 1101 9th St N, Virginia, MN 55792 Phone: 218-305-0000
Dr. Amy Katherine Rothermel, AU.D. Audiologist Medicare: Not Enrolled in Medicare Practice Location: 1101 9th St N, Virginia, MN 55792 Phone: 218-741-0150
Kathleen Jacklen, CCC/AUD Audiologist Medicare: Not Enrolled in Medicare Practice Location: 1101 9th St N, Virginia, MN 55792 Phone: 218-741-0150
Michael John Fridgen, Audiologist Medicare: Not Enrolled in Medicare Practice Location: 1101 9th St N, Virginia, MN 55792 Phone: 218-741-0150

Kelsey N Fairbanks, AUD - Medicare Audiologist in Virginia, MN