Martin James Mahoney, AUD is a medicare enrolled "Audiologist" provider in Davison, Michigan. His current practice location is
1141 S State Rd, Davison, Michigan. You can reach out to his office (for appointments etc.) via phone at
(810) 412-5544.
Martin James Mahoney is licensed to practice in Michigan (license number 1601000561) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1417263609.
Healthcare Provider's Profile
| Full Name | Martin James Mahoney |
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| Gender | Male |
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| Speciality | Audiologist |
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| Location | 1141 S State Rd, Davison, Michigan |
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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: 1417263609
- Provider Enumeration Date: 08/25/2010
- Last Update Date: 05/29/2024
Medicare PECOS Information:
- PECOS PAC ID: 8628203007
- Enrollment ID: I20131022000383
Medical Identifiers
Medical identifiers for Martin James Mahoney such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1417263609 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 231H00000X | Audiologist | 1601000561 (Michigan) | 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. Martin James Mahoney allows following entities to bill medicare on his behalf.
| Provider Name | Mid Michigan Ear Nose And Throat Pc |
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| Provider Type | Part B Supplier - Clinic/group Practice |
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| Provider Identifiers | NPI Number: 1326133398
PECOS PAC ID: 1052363801
Enrollment ID: O20050221000242 |
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| Provider Name | Downriver Ent Pc |
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| Provider Type | Part B Supplier - Clinic/group Practice |
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| Provider Identifiers | NPI Number: 1134304595
PECOS PAC ID: 6305933326
Enrollment ID: O20080104000527 |
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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. Martin James Mahoney 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 |
|---|
Martin James Mahoney, AUD
2046 S Cedar St,
Imlay City, MI 48444-9606
Ph: (810) 721-7274 | Martin James Mahoney, AUD
1141 S State Rd,
Davison, MI 48423-1964
Ph: (810) 412-5544 |
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