Dr Alisa Vineyard, AUD in Pocatello, ID - Medicare Audiologist Provider

Dr Alisa Vineyard, AUD is a medicare enrolled "Audiologist" provider in Pocatello, Idaho. Her current practice location is 2350 Via Caporatti Dr, Suite B, Pocatello, Idaho. You can reach out to her office (for appointments etc.) via phone at (208) 237-5322.

Dr Alisa Vineyard is licensed to practice in Idaho (license number ) 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 1538548839.

Contact Information

	Dr Alisa Vineyard, AUD
	2350 Via Caporatti Dr, Suite B, Pocatello, ID 83201-5095
	(208) 237-5322
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Dr Alisa Vineyard
Gender	Female
Speciality	Audiologist
Location	2350 Via Caporatti Dr, Pocatello, Idaho
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1538548839
Provider Enumeration Date: 05/20/2015
Last Update Date: 05/20/2015

Medicare PECOS Information:

PECOS PAC ID: 5991187718
Enrollment ID: I20221028001991

Medical Identifiers

Medical identifiers for Dr Alisa Vineyard such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1538548839	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
231H00000X	Audiologist	(Idaho)	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. Dr Alisa Vineyard allows following entities to bill medicare on her behalf.

Provider Name	Pocatello Health Services Llc
Provider Type	Part B Supplier - Clinic/group Practice
Provider Identifiers	NPI Number: 1689802852 PECOS PAC ID: 6608927637 Enrollment ID: O20090701000646

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. Dr Alisa Vineyard 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
Dr Alisa Vineyard, AUD 2350 Via Caporatti Dr, Suite B, Pocatello, ID 83201-5095 Ph: (208) 237-5322	Dr Alisa Vineyard, AUD 2350 Via Caporatti Dr, Suite B, Pocatello, ID 83201-5095 Ph: (208) 237-5322

Reviews and Comments

Audiologist in Pocatello, ID

Jeff E Brockett, ED.D Audiologist Medicare: Accepting Medicare Assignments Practice Location: 650 Memorial Dr Bldg 68, Pocatello, ID 83209 Phone: 208-282-2556
Dr. Makenzi Gwinn, AU.D. Audiologist Medicare: Accepting Medicare Assignments Practice Location: 777 Hospital Way Ste 115, Pocatello, ID 83201 Phone: 208-239-1960 Fax: 208-478-0076
Mr. Edward Gregory Smith, M.S., CCC-A Audiologist Medicare: Not Enrolled in Medicare Practice Location: 921 S 8th Ave Stop 8116, Pocatello, ID 83209 Phone: 208-282-3495 Fax: 208-282-4571
Dr. Jennifer Holst, AU.D. Audiologist Medicare: Accepting Medicare Assignments Practice Location: Idaho State University, 921 S. 8th Stop 8116, Pocatello, ID 83209 Phone: 208-282-3747
Dr. Mary M. Whitaker, AU.D. Audiologist Medicare: Medicare Enrolled Practice Location: 650 Memorial Drive, Bldg 68, Pocatello, ID 83209 Phone: 208-282-2190
Lindsay Anne Tucker, AU.D. Audiologist Medicare: Accepting Medicare Assignments Practice Location: 650 Memorial Dr, Pocatello, ID 83209 Phone: 208-233-4339

Dr Alisa Vineyard, AUD - Medicare Audiologist in Pocatello, ID