Mrs Lisa Ann Marlow, MACCC A is a medicare enrolled "Audiologist" provider in Macomb Twp, Michigan. Her current practice location is
19991 Hall Rd, Ste 102, Macomb Twp, Michigan. You can reach out to her office (for appointments etc.) via phone at
(586) 263-4401.
Mrs Lisa Ann Marlow is licensed to practice in Michigan (license number 1601000196) 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 1003970500.
Healthcare Provider's Profile
| Full Name | Mrs Lisa Ann Marlow |
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| Gender | Female |
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| Speciality | Audiologist |
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| Location | 19991 Hall Rd, Macomb Twp, Michigan |
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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: 1003970500
- Provider Enumeration Date: 12/20/2006
- Last Update Date: 07/08/2007
Medicare PECOS Information:
- PECOS PAC ID: 9133300577
- Enrollment ID: I20110218000150
Medical Identifiers
Medical identifiers for Mrs Lisa Ann Marlow such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
| 1003970500 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
| 231H00000X | Audiologist | 1601000196 (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. Mrs Lisa Ann Marlow allows following entities to bill medicare on her behalf.
| Provider Name | Sheila M Ray Md Pc |
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| Provider Type | Part B Supplier - Clinic/group Practice |
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| Provider Identifiers | NPI Number: 1790009868 PECOS PAC ID: 5597900605 Enrollment ID: O20130320000506 |
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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. Mrs Lisa Ann Marlow 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 |
Mrs Lisa Ann Marlow, MACCC A 15580 Riverside, Livonia, MI 48154 Ph: (734) 464-2595 | Mrs Lisa Ann Marlow, MACCC A 19991 Hall Rd, Ste 102, Macomb Twp, MI 48044 Ph: (586) 263-4401 |
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