Mr Kevin Amdahl, MA is a medicare enrolled "Audiologist-hearing Aid Fitter" provider in Saint Cloud, Minnesota. He graduated from medical school in 1994 and has 32 years of diverse experience with area of expertise as Qualified Audiologist. He is a member of the group practice Jka5 Enterprises, Jka5 Hudson Inc and his current practice location is
2848 2nd St S Ste 185, Saint Cloud, Minnesota. You can reach out to his office (for appointments etc.) via phone at
(320) 252-0094.
Mr Kevin Amdahl is licensed to practice in Minnesota (license number 6055) and he also participates in the medicare program. He
accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1972624286.
Healthcare Provider's Profile
| Full Name | Mr Kevin Amdahl |
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| Gender | Male |
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| Speciality | Qualified Audiologist |
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| Experience | 32 Years |
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| Location | 2848 2nd St S Ste 185, Saint Cloud, Minnesota |
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| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Mr Kevin Amdahl graduated from medical school in 1994
NPI Data:
- NPI Number: 1972624286
- Provider Enumeration Date: 04/03/2007
- Last Update Date: 04/02/2025
Medicare PECOS Information:
- PECOS PAC ID: 8123123890
- Enrollment ID: I20070425000357
Medical Identifiers
Medical identifiers for Mr Kevin Amdahl such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1972624286 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 231H00000X | Audiologist | 748-156 (Wisconsin) | Secondary |
| 237600000X | Audiologist-hearing Aid Fitter | 6055 (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. Mr Kevin Amdahl allows following entities to bill medicare on his behalf.
| Provider Name | Jka5 Enterprises |
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| Provider Type | Part B Supplier - Clinic/group Practice |
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| Provider Identifiers | NPI Number: 1568869188
PECOS PAC ID: 3779800586
Enrollment ID: O20150316000889 |
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| Provider Name | Jka5 Maple Grove Inc |
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| Provider Type | Part B Supplier - Clinic/group Practice |
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| Provider Identifiers | NPI Number: 1861945453
PECOS PAC ID: 0244526515
Enrollment ID: O20160913001241 |
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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. Mr Kevin Amdahl 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 |
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Mr Kevin Amdahl, MA
2848 2nd Street South, 185,
Saint Cloud, MN 56301-4810
Ph: (320) 252-0094 | Mr Kevin Amdahl, MA
2848 2nd St S Ste 185,
Saint Cloud, MN 56301-3708
Ph: (320) 252-0094 |
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