Caelan Cordova, AUD in Sanford, NC - Medicare Audiologist Provider

Caelan Cordova, AUD is a medicare enrolled "Audiologist" provider in Sanford, North Carolina. Her current practice location is 1620 S 3rd St, Sanford, North Carolina. You can reach out to her office (for appointments etc.) via phone at (919) 774-3277.

Caelan Cordova is licensed to practice in North Carolina (license number 30000890) 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 1013649938.

Contact Information

	Caelan Cordova, AUD
	1620 S 3rd St, Sanford, NC 27330-5662
	(919) 774-3277
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Caelan Cordova
Gender	Female
Speciality	Audiologist
Location	1620 S 3rd St, Sanford, North Carolina
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1013649938
Provider Enumeration Date: 06/29/2022
Last Update Date: 07/07/2022

Medicare PECOS Information:

PECOS PAC ID: 5294197083
Enrollment ID: I20230810002024

Medical Identifiers

Medical identifiers for Caelan Cordova such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1013649938	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
231H00000X	Audiologist	30000890 (North Carolina)	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. Caelan Cordova allows following entities to bill medicare on her behalf.

Provider Name	Bright Audiology And Speech Inc
Provider Type	Part B Supplier - Clinic/group Practice
Provider Identifiers	NPI Number: 1215060561 PECOS PAC ID: 9739177114 Enrollment ID: O20091006000099

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. Caelan Cordova 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
Caelan Cordova, AUD 1620 S 3rd St, Sanford, NC 27330-5662 Ph: (919) 774-3277	Caelan Cordova, AUD 1620 S 3rd St, Sanford, NC 27330-5662 Ph: (919) 774-3277

Reviews and Comments

Audiologist in Sanford, NC

Mrs. Lisa Michelle Barbour, AU.D. Audiologist Medicare: Not Enrolled in Medicare Practice Location: 1620 S 3rd St, Sanford, NC 27330 Phone: 919-774-3277 Fax: 919-774-1643
Ms. Mary Helen Gallert, MS Audiologist Medicare: Accepting Medicare Assignments Practice Location: 1915 K M Wicker Memorial Dr, Sanford, NC 27330 Phone: 919-774-6829 Fax: 919-775-2327
Hollis Reed Elmore, AUD Audiologist Medicare: Not Enrolled in Medicare Practice Location: 1620 S 3rd St, Sanford, NC 27330 Phone: 919-774-3277 Fax: 919-774-1643
Mr. Jonathan Pease Miller, MS, CCA-A Audiologist Medicare: Not Enrolled in Medicare Practice Location: 1915 K M Wicker Memorial Dr, Sanford, NC 27330 Phone: 919-774-6829 Fax: 919-775-2327
Dr. Rachel Sutton Lazaro, AU.D Audiologist Medicare: Not Enrolled in Medicare Practice Location: 1915 K M Wicker Memorial Dr, Sanford, NC 27330 Phone: 919-774-6829 Fax: 919-775-2327
Dr. Angela Bright-pearson, AUD. CCC/A, SEP Audiologist Medicare: Accepting Medicare Assignments Practice Location: 1620 S 3rd St, Sanford, NC 27330 Phone: 919-774-3277 Fax: 919-774-1643

Caelan Cordova, AUD - Medicare Audiologist in Sanford, NC