Mr John Reimbold, MS CCCA is a medicare enrolled "Audiologist" provider in Carbondal, Illinois. His current practice location is
1717 W Main Street, Carbondal, Illinois. You can reach out to his office (for appointments etc.) via phone at
(618) 457-6643.
Mr John Reimbold is licensed to practice in Illinois (license number 147000156) 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 1427069541.
Healthcare Provider's Profile
| Full Name | Mr John Reimbold |
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| Gender | Male |
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| Speciality | Audiologist |
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| Location | 1717 W Main Street, Carbondal, Illinois |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1427069541
- Provider Enumeration Date: 08/11/2006
- Last Update Date: 10/06/2022
Medicare PECOS Information:
- PECOS PAC ID: 0648279976
- Enrollment ID: I20101201000336
Medical Identifiers
Medical identifiers for Mr John Reimbold such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
| 1427069541 | NPI | - | NPPES |
| 029298 | Other | IL | HEALTH ALLIANCE |
| 3970321 | Other | IL | BCBS |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
| 231H00000X | Audiologist | (* (Not Available)) | Secondary |
| 237700000X | Hearing Instrument Specialist | IDPH0394 (Illinois) | Secondary |
| 332B00000X | Durable Medical Equipment & Medical Supplies | IDPH0394 (Illinois) | Secondary |
| 231H00000X | Audiologist | 147000156 (Illinois) | Primary |
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. Mr John Reimbold 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 |
Mr John Reimbold, MS CCCA Po Box 1058, 1717 W Main Street, Carbondale, IL 62903-1058 Ph: (618) 457-6643 | Mr John Reimbold, MS CCCA 1717 W Main Street, Carbondal, IL 62901 Ph: (618) 457-6643 |
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