Patriot Center For Hearing Loss & Related Disorders, 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 Loss & Related Disorders, Llc is licensed to practice in * (Not Available) (license number ) and it also participates in the medicare program. Patriot Center For Hearing Loss & Related Disorders, 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 Loss & Related Disorders, 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 Loss & Related Disorders, 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 Loss & Related Disorders, 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 Loss & Related Disorders, 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 Loss & Related Disorders, Llc
661 E Broadway Blvd, Ste C,
Jefferson City, TN 37760
Ph: (865) 471-0466 | Patriot Center For Hearing Loss & Related Disorders, Llc
661 E Broadway Blvd, Suite C,
Jefferson City, TN 37760
Ph: (865) 471-0466 |
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