Judenie Raphael, AUD is a medicare enrolled "Audiologist" in Jacksonville, Florida. Her current practice location is
1128 N Laura St, Jacksonville, Florida. You can reach out to her office (for appointments etc.) via phone at
(904) 344-3403.
Judenie Raphael is licensed to practice in Florida (license number AY1834) 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 1871914275.
Provider's Profile
| Full Name | Judenie Raphael |
|---|
| Gender | Female |
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| Speciality | Audiologist |
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| Location | 1128 N Laura St, Jacksonville, Florida |
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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: 1871914275
- Provider Enumeration Date: 01/02/2014
- Last Update Date: 11/27/2023
Medicare PECOS Information:
- PECOS PAC ID: 9335370485
- Enrollment ID: I20140402002259
Medical Identifiers
Medical identifiers for Judenie Raphael such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1871914275 | NPI | - | NPPES |
| 010514600 | Medicaid | FL | |
| 003154616A | Medicaid | GA | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 163W00000X | Registered Nurse | 9502265 (Florida) | Secondary |
| 163WH0200X | Registered Nurse - Home Health | 9502265 (Florida) | Secondary |
| 376J00000X | Homemaker | (* (Not Available)) | Secondary |
| 231H00000X | Audiologist | AY1834 (Florida) | 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. Judenie Raphael allows following entities to bill medicare on her behalf.
| Entity Name | University Of Florida Jacksonville Physicians, Inc. |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1144276452
PECOS PAC ID: 9133025869
Enrollment ID: O20040128000786 |
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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. Judenie Raphael 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 |
|---|
Judenie Raphael, AUD
1128 N Laura St,
Jacksonville, FL 32206-4912
Ph: (904) 344-3403 | Judenie Raphael, AUD
1128 N Laura St,
Jacksonville, FL 32206-4912
Ph: (904) 344-3403 |
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