Samantha Bloodgood, AUD in Park Ridge, IL - Medicare Qualified Audiologist Provider

Samantha Bloodgood, AUD is a medicare enrolled "Audiologist" provider in Park Ridge, Illinois. She graduated from medical school in 2023 and has 2 years of diverse experience with area of expertise as Qualified Audiologist. She is a member of the group practice Midwest Ent Alliance Pllc, Ear Nose And Throat Specialists Of Illinois Ltd and her current practice location is 2604 Dempster St Ste 501, Park Ridge, Illinois. You can reach out to her office (for appointments etc.) via phone at (847) 674-5585.

Samantha Bloodgood is licensed to practice in Illinois (license number 147.001985) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1194593079.

Contact Information

	Samantha Bloodgood, AUD
	2604 Dempster St Ste 501, Park Ridge, IL 60068-8429
	(847) 674-5585
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Samantha Bloodgood
Gender	Female
Speciality	Qualified Audiologist
Experience	2 Years
Location	2604 Dempster St Ste 501, Park Ridge, Illinois
Accepts Medicare Assignments	Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Samantha Bloodgood graduated from medical school in 2023

NPI Data:

NPI Number: 1194593079
Provider Enumeration Date: 12/19/2023
Last Update Date: 05/08/2024

Medicare PECOS Information:

PECOS PAC ID: 5698119485
Enrollment ID: I20240220003977

Medical Identifiers

Medical identifiers for Samantha Bloodgood such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1194593079	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
231H00000X	Audiologist	147.001985 (Illinois)	Primary

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Midwest Ent Alliance Pllc	5294276259	83
Ear Nose And Throat Specialists Of Illinois Ltd	7911970389	22

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. Samantha Bloodgood allows following entities to bill medicare on her behalf.

Provider Name	Ear Nose & Throat Specialists Of Illinois Ltd
Provider Type	Part B Supplier - Clinic/group Practice
Provider Identifiers	NPI Number: 1750340949 PECOS PAC ID: 7911970389 Enrollment ID: O20040813001041

Provider Name	Midwest Ent Alliance Pllc
Provider Type	Part B Supplier - Clinic/group Practice
Provider Identifiers	NPI Number: 1588449458 PECOS PAC ID: 5294276259 Enrollment ID: O20240918002812

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. Samantha Bloodgood 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
Samantha Bloodgood, AUD 2246 W Lawrence Ave Unit 402, Chicago, IL 60625-7550 Ph: () -	Samantha Bloodgood, AUD 2604 Dempster St Ste 501, Park Ridge, IL 60068-8429 Ph: (847) 674-5585

Reviews and Comments

Audiologist in Park Ridge, IL

Hearing Professionals Of Illinois Audiologist Medicare: Not Enrolled in Medicare Practice Location: 2604 Dempster St Ste 501, Park Ridge, IL 60068 Phone: 847-674-5585
Specialized Audiology Services Pc Audiologist Medicare: Not Enrolled in Medicare Practice Location: 350 S Northwest Hwy Ste 300, Park Ridge, IL 60068 Phone: 773-543-8121 Fax: 773-321-0193
Dr. Lauren E Moss, AUD Audiologist Medicare: Accepting Medicare Assignments Practice Location: 2604 Dempster St Ste 501, Park Ridge, IL 60068 Phone: 847-674-5585
Veronica Elizabeth Lane, AUD Audiologist Medicare: Accepting Medicare Assignments Practice Location: 1875 Dempster St Ste 301, Park Ridge, IL 60068 Phone: 847-685-1000
Mrs. Sharon Lynn Lichtman, M.A. Audiologist Medicare: Not Enrolled in Medicare Practice Location: 1875 Dempster St, Suite 625, Park Ridge, IL 60068 Phone: 847-518-1200 Fax: 847-518-1209
Dr. Christina Mishu Rosean, AU.D. Audiologist Medicare: Not Enrolled in Medicare Practice Location: 1675 Dempster St Fl 3, Park Ridge, IL 60068 Phone: 847-723-7863 Fax: 847-723-4353

Samantha Bloodgood, AUD - Medicare Audiologist in Park Ridge, IL