Alison L Liudahl, AUD,CCC-A,FAA is a medicare enrolled "Audiologist" provider in Lake Ridge, Virginia. Her current practice location is
2070 Old Bridge Rd, Suite 103, Lake Ridge, Virginia. You can reach out to her office (for appointments etc.) via phone at
(703) 499-8787.
Alison L Liudahl is licensed to practice in Virginia (license number 2201001374) 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 1326298142.
Healthcare Provider's Profile
| Full Name | Alison L Liudahl |
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| Gender | Female |
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| Speciality | Audiologist |
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| Location | 2070 Old Bridge Rd, Lake Ridge, Virginia |
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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: 1326298142
- Provider Enumeration Date: 09/29/2008
- Last Update Date: 09/29/2008
Medicare PECOS Information:
- PECOS PAC ID: 2668509431
- Enrollment ID: I20221109000978
Medical Identifiers
Medical identifiers for Alison L Liudahl such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1326298142 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 231H00000X | Audiologist | 2201001374 (Virginia) | 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. Alison L Liudahl allows following entities to bill medicare on her behalf.
| Provider Name | Oakdale Ear, Nose & Throat Clinic, P.a. |
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| Provider Type | Part B Supplier - Clinic/group Practice |
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| Provider Identifiers | NPI Number: 1598976326
PECOS PAC ID: 9133209802
Enrollment ID: O20080108000132 |
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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. Alison L Liudahl 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 |
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Alison L Liudahl, AUD,CCC-A,FAA
Po Box 7657,
Woodbridge, VA 22195-7657
Ph: (703) 499-8787 | Alison L Liudahl, AUD,CCC-A,FAA
2070 Old Bridge Rd, Suite 103,
Lake Ridge, VA 22192-2495
Ph: (703) 499-8787 |
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