Payton Hunter Lack, AUD is a medicare enrolled "Audiologist" provider in Greensboro, Georgia. He graduated from medical school in 2022 and has 3 years of diverse experience with area of expertise as Qualified Audiologist. He is a member of the group practice North Georgia Audiology And Hearing Aid Center, Llc and his current practice location is
1051 Parkside Cmns Ste 103, Greensboro, Georgia. You can reach out to his office (for appointments etc.) via phone at
(706) 623-4425.
Payton Hunter Lack is licensed to practice in Georgia (license number AUD004368) 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 1043901390.
Healthcare Provider's Profile
| Full Name | Payton Hunter Lack |
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| Gender | Male |
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| Speciality | Qualified Audiologist |
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| Experience | 3 Years |
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| Location | 1051 Parkside Cmns Ste 103, Greensboro, Georgia |
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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:
- Payton Hunter Lack graduated from medical school in 2022
NPI Data:
- NPI Number: 1043901390
- Provider Enumeration Date: 05/17/2023
- Last Update Date: 05/17/2023
Medicare PECOS Information:
- PECOS PAC ID: 0446602908
- Enrollment ID: I20240119002536
Medical Identifiers
Medical identifiers for Payton Hunter Lack such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1043901390 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 231H00000X | Audiologist | AUD004368 (Georgia) | Primary |
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
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| North Georgia Audiology And Hearing Aid Center, Llc | 2062654437 | 6 |
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. Payton Hunter Lack allows following entities to bill medicare on his behalf.
| Provider Name | North Georgia Audiology And Hearing Aid Center, Llc |
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| Provider Type | Part B Supplier - Clinic/group Practice |
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| Provider Identifiers | NPI Number: 1063845246
PECOS PAC ID: 2062654437
Enrollment ID: O20130814000575 |
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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. Payton Hunter Lack 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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Payton Hunter Lack, AUD
1051 Parkside Cmns Ste 103,
Greensboro, GA 30642-4517
Ph: (706) 623-4425 | Payton Hunter Lack, AUD
1051 Parkside Cmns Ste 103,
Greensboro, GA 30642-4517
Ph: (706) 623-4425 |
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