Stephanie Lynn Gannaway, AUD,CCC-A is a medicare enrolled "Audiologist-hearing Aid Fitter" provider in Edmond, Oklahoma. Her current practice location is
3824 S Boulevard Ste 110, Edmond, Oklahoma. You can reach out to her office (for appointments etc.) via phone at
(405) 562-1810.
Stephanie Lynn Gannaway is licensed to practice in Oklahoma (license number 3745) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1942593017.
Healthcare Provider's Profile
| Full Name | Stephanie Lynn Gannaway |
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| Gender | Female |
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| Speciality | Audiologist-hearing Aid Fitter |
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| Location | 3824 S Boulevard Ste 110, Edmond, Oklahoma |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
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NPI Data:
- NPI Number: 1942593017
- Provider Enumeration Date: 05/24/2011
- Last Update Date: 05/15/2023
Medicare PECOS Information:
- PECOS PAC ID: 7214102102
- Enrollment ID: I20111205000161
Medical Identifiers
Medical identifiers for Stephanie Lynn Gannaway such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1942593017 | NPI | - | NPPES |
| 200338810A | Medicaid | OK | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 231H00000X | Audiologist | 3745 (Oklahoma) | Secondary |
| 237600000X | Audiologist-hearing Aid Fitter | 3745 (Oklahoma) | Primary |
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. Stephanie Lynn Gannaway allows following entities to bill medicare on her behalf.
| Provider Name | Oklahoma Otolaryngology Hearing Center Inc |
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| Provider Type | Part B Supplier - Clinic/group Practice |
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| Provider Identifiers | NPI Number: 1356788954
PECOS PAC ID: 5496998627
Enrollment ID: O20130906000712 |
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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. Stephanie Lynn Gannaway 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 |
|---|
Stephanie Lynn Gannaway, AUD,CCC-A
Po Box 960472,
Oklahoma City, OK 73196-0472
Ph: (405) 755-6651 | Stephanie Lynn Gannaway, AUD,CCC-A
3824 S Boulevard Ste 110,
Edmond, OK 73013-5779
Ph: (405) 562-1810 |
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