Southbury Audiology Llc is a medicare enrolled "Audiologist" provider in Southbury, Connecticut. Their current practice location is
2 Pomperaug Office Park, Suite 307, Southbury, Connecticut. You can reach out to their office (for appointments etc.) via phone at
(203) 264-8201.
Southbury Audiology Llc is licensed to practice in Connecticut (license number 109) and it also participates in the medicare program. Southbury 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 1932575610.
Healthcare Provider's Profile
| Full Name | Southbury Audiology Llc |
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| Type | Facility |
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| Speciality | Audiologist |
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| Location | 2 Pomperaug Office Park, Southbury, Connecticut |
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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: 1932575610
- Provider Enumeration Date: 08/17/2015
- Last Update Date: 04/25/2018
Medicare PECOS Information:
- PECOS PAC ID: 9931419348
- Enrollment ID: O20151113000964
Medical Identifiers
Medical identifiers for Southbury Audiology Llc such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1932575610 | NPI | - | NPPES |
| 0123218 | Other | CT | AETNA |
| 4048864 | Medicaid | CT | |
| 730000109CT01 | Other | CT | ANTHEM BCBS |
| 4048674 | Medicaid | CT | |
| P442727 | Other | CT | OXFORD |
| 001376523-001 | Other | CT | UNITED HEALTH CARE |
| 724745 | Other | CT | CONNECTICARE |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 231H00000X | Audiologist | 109 (Connecticut) | Primary |
| 231HA2400X | Audiologist - Assistive Technology Practitioner | 109 (Connecticut) | Secondary |
| 231HA2500X | Audiologist - Assistive Technology Supplier | 109 (Connecticut) | Secondary |
| 237600000X | Audiologist-hearing Aid Fitter | 109 (Connecticut) | Secondary |
Medicare Reassignments
Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works.
Southbury Audiology Llc acts as a billing entity for following providers:
| Provider Name | Cathleen A Alex |
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| Provider Type | Practitioner - Qualified Audiologist |
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| Provider Identifiers | NPI Number: 1710048111
PECOS PAC ID: 7618141821
Enrollment ID: I20111129000002 |
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| Provider Name | Stephanie L Bakewell |
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| Provider Type | Practitioner - Qualified Audiologist |
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| Provider Identifiers | NPI Number: 1659628931
PECOS PAC ID: 9830348291
Enrollment ID: I20121001000217 |
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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. Southbury 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 |
|---|
Southbury Audiology Llc
2 Pomperaug Office Park, Suite 307,
Southbury, CT 06488-2288
Ph: (203) 264-8201 | Southbury Audiology Llc
2 Pomperaug Office Park, Suite 307,
Southbury, CT 06488-2288
Ph: (203) 264-8201 |
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