Your Complete Source, Pllc is a medicare enrolled "Audiologist-hearing Aid Fitter" provider in Chandler, Arizona. Their current practice location is
2040 S Alma School Rd Ste 10, Chandler, Arizona. You can reach out to their office (for appointments etc.) via phone at
(480) 242-6247.
Your Complete Source, Pllc is licensed to practice in * (Not Available) (license number ) and it also participates in the medicare program. Your Complete Source, Pllc
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 1912530833.
Healthcare Provider's Profile
| Full Name | Your Complete Source, Pllc |
|---|
| Type | Facility |
|---|
| Speciality | Audiologist-hearing Aid Fitter |
|---|
| Location | 2040 S Alma School Rd Ste 10, Chandler, Arizona |
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| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
|---|
NPI Data:
- NPI Number: 1912530833
- Provider Enumeration Date: 02/19/2020
- Last Update Date: 05/25/2025
Medicare PECOS Information:
- PECOS PAC ID: 4486086253
- Enrollment ID: O20250417002071
Medical Identifiers
Medical identifiers for Your Complete Source, Pllc such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1912530833 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 152WV0400X | Optometrist - Vision Therapy | (* (Not Available)) | Secondary |
| 152WX0102X | Optometrist - Occupational Vision | (* (Not Available)) | Secondary |
| 231HA2400X | Audiologist - Assistive Technology Practitioner | (* (Not Available)) | Secondary |
| 231HA2500X | Audiologist - Assistive Technology Supplier | (* (Not Available)) | Secondary |
| 237700000X | Hearing Instrument Specialist | (* (Not Available)) | Secondary |
| 237600000X | Audiologist-hearing Aid Fitter | (* (Not Available)) | Primary |
Medicare Reassignments
Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works.
Your Complete Source, Pllc acts as a billing entity for following providers:
| Provider Name | Scott Lineweaver |
|---|
| Provider Type | Practitioner - Qualified Audiologist |
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| Provider Identifiers | NPI Number: 1063481950
PECOS PAC ID: 1456783232
Enrollment ID: I20250417002288 |
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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. Your Complete Source, Pllc 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 |
|---|
Your Complete Source, Pllc
2040 S Alma School Rd Ste 10,
Chandler, AZ 85286-7076
Ph: (888) 439-3327 | Your Complete Source, Pllc
2040 S Alma School Rd Ste 10,
Chandler, AZ 85286-7076
Ph: (480) 242-6247 |
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