Northland Audiology Llc is a medicare enrolled "Audiologist" provider in Clear Lake, Wisconsin. Their current practice location is
370 3rd Ave, Clear Lake, Wisconsin. You can reach out to their office (for appointments etc.) via phone at
(715) 641-2526.
Northland Audiology Llc is licensed to practice in * (Not Available) (license number ) and it also participates in the medicare program. Northland Audiology Llc
is enrolled with medicare and should accept medicare assignments and since they are enrolled in medicare, they may order Medicare Part D Prescription drugs, if eligible. The facility's NPI Number is 1831908292.
Healthcare Provider's Profile
| Full Name | Northland Audiology Llc |
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| Type | Facility |
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| Speciality | Audiologist |
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| Location | 370 3rd Ave, Clear Lake, Wisconsin |
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| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
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NPI Data:
- NPI Number: 1831908292
- Provider Enumeration Date: 12/31/2024
- Last Update Date: 01/02/2025
Medicare PECOS Information:
- PECOS PAC ID: 7810417730
- Enrollment ID: O20250224000108
Medical Identifiers
Medical identifiers for Northland Audiology Llc such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1831908292 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 231H00000X | Audiologist | (* (Not Available)) | Primary |
Medicare Reassignments
Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works.
Northland Audiology Llc acts as a billing entity for following providers:
| Provider Name | Samuel A Schultz |
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| Provider Type | Practitioner - Qualified Audiologist |
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| Provider Identifiers | NPI Number: 1669992871
PECOS PAC ID: 2860763315
Enrollment ID: I20170802002146 |
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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. Northland Audiology Llc 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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Northland Audiology Llc
179 3rd Ave,
Clayton, WI 54004-8927
Ph: () - | Northland Audiology Llc
370 3rd Ave,
Clear Lake, WI 54005
Ph: (715) 641-2526 |
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