Coastal Ear Nose & Throat, Llc is a medicare enrolled "Otolaryngology" provider in Savannah, Georgia. Their current practice location is
322 Commercial Dr, Suite 2, Savannah, Georgia. You can reach out to their office (for appointments etc.) via phone at
(912) 355-2335.
Coastal Ear Nose & Throat, Llc is licensed to practice in * (Not Available) (license number ) and it also participates in the medicare program. Coastal Ear Nose & Throat, 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 1053552513.
Healthcare Provider's Profile
| Full Name | Coastal Ear Nose & Throat, Llc |
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| Type | Facility |
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| Speciality | Otolaryngology |
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| Location | 322 Commercial Dr, Savannah, Georgia |
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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: 1053552513
- Provider Enumeration Date: 03/13/2009
- Last Update Date: 07/13/2018
Medicare PECOS Information:
- PECOS PAC ID: 7810040698
- Enrollment ID: O20090727000273
Medical Identifiers
Medical identifiers for Coastal Ear Nose & Throat, Llc such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1053552513 | NPI | - | NPPES |
| 000602588N | Medicaid | GA | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 225100000X | Physical Therapist | (* (Not Available)) | Secondary |
| 231H00000X | Audiologist | (* (Not Available)) | Secondary |
| 207Y00000X | Otolaryngology | (* (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.
Coastal Ear Nose & Throat, Llc acts as a billing entity for following providers:
| Provider Name | David S Oliver |
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| Provider Type | Practitioner - Otolaryngology |
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| Provider Identifiers | NPI Number: 1922000959
PECOS PAC ID: 1456333418
Enrollment ID: I20090727000437 |
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| Provider Name | Kim-oanh H Davis |
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| Provider Type | Practitioner - Qualified Audiologist |
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| Provider Identifiers | NPI Number: 1891953733
PECOS PAC ID: 4486712932
Enrollment ID: I20221121002230 |
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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. Coastal Ear Nose & Throat, 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 |
|---|
Coastal Ear Nose & Throat, Llc
322 Commercial Dr, Suite 2,
Savannah, GA 31406-3625
Ph: (912) 355-2335 | Coastal Ear Nose & Throat, Llc
322 Commercial Dr, Suite 2,
Savannah, GA 31406
Ph: (912) 355-2335 |
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