Patriot Center For Hearing, Llc is a medicare enrolled "Audiologist" provider in Jefferson City, Tennessee. Their current practice location is
661 E Broadway Blvd, Suite C, Jefferson City, Tennessee. You can reach out to their office (for appointments etc.) via phone at
(865) 471-0466.
Patriot Center For Hearing, Llc is licensed to practice in * (Not Available) (license number ) and it also participates in the medicare program. Patriot Center For Hearing, 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 1548516354.
Healthcare Provider's Profile
| Full Name | Patriot Center For Hearing, Llc |
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| Type | Facility |
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| Speciality | Audiologist |
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| Location | 661 E Broadway Blvd, Jefferson City, Tennessee |
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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: 1548516354
- Provider Enumeration Date: 07/30/2012
- Last Update Date: 06/08/2023
Medicare PECOS Information:
- PECOS PAC ID: 1951746957
- Enrollment ID: O20240229002201
Medical Identifiers
Medical identifiers for Patriot Center For Hearing, Llc such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1548516354 | NPI | - | NPPES |
| Q046151 | Medicaid | TN | |
| 4091430 | Other | TN | BLUECROSS BLUE SHIELD OF TN |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 231H00000X | Audiologist | (* (Not Available)) | Primary |
| 237600000X | Audiologist-hearing Aid Fitter | (* (Not Available)) | Secondary |
| 261QH0700X | Clinic/center - Hearing And Speech | 1162 (Tennessee) | Secondary |
Medicare Reassignments
Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works.
Patriot Center For Hearing, Llc acts as a billing entity for following providers:
| Provider Name | Teresa R Stepp |
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| Provider Type | Practitioner - Qualified Audiologist |
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| Provider Identifiers | NPI Number: 1396748695
PECOS PAC ID: 1557321205
Enrollment ID: I20041016000057 |
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| Provider Name | Anna S Woods |
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| Provider Type | Practitioner - Qualified Audiologist |
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| Provider Identifiers | NPI Number: 1760742662
PECOS PAC ID: 7618128877
Enrollment ID: I20121115000543 |
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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. Patriot Center For Hearing, 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 |
|---|
Patriot Center For Hearing, Llc
661 E Broadway Blvd, Ste C,
Jefferson City, TN 37760
Ph: (865) 471-0466 | Patriot Center For Hearing, Llc
661 E Broadway Blvd, Suite C,
Jefferson City, TN 37760
Ph: (865) 471-0466 |
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