Calli Keenan Fodor, AUD in Tampa, FL - Medicare Qualified Audiologist Provider

Calli Keenan Fodor, AUD is a medicare enrolled "Audiologist" provider in Tampa, Florida. She graduated from medical school in 2019 and has 5 years of diverse experience with area of expertise as Qualified Audiologist. She is a member of the group practice West Coast Ear, Nose And Throat, Inc and her current practice location is 3711 Usf Citrus Drive, Tampa, Florida. You can reach out to her office (for appointments etc.) via phone at (813) 974-8804.

Calli Keenan Fodor is licensed to practice in Florida (license number AY2309) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1205477072.

Contact Information

	Calli Keenan Fodor, AUD
	3711 Usf Citrus Drive, Tampa, FL 33620-3120
	(813) 974-8804
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Calli Keenan Fodor
Gender	Female
Speciality	Qualified Audiologist
Experience	5 Years
Location	3711 Usf Citrus Drive, Tampa, Florida
Accepts Medicare Assignments	Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Calli Keenan Fodor graduated from medical school in 2019

NPI Data:

NPI Number: 1205477072
Provider Enumeration Date: 10/03/2019
Last Update Date: 08/20/2024

Medicare PECOS Information:

PECOS PAC ID: 2860724200
Enrollment ID: I20191104002771

Medical Identifiers

Medical identifiers for Calli Keenan Fodor such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1205477072	NPI	-	NPPES
ZXFCN	Other	FL	BLUE CROSS BLUE SHIELD
123112400	Medicaid	FL

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
231H00000X	Audiologist	AY2309 (Florida)	Primary

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
West Coast Ear, Nose And Throat, Inc	0941260103	19

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. Calli Keenan Fodor allows following entities to bill medicare on her behalf.

Provider Name	West Coast Ear, Nose & Throat, Inc
Provider Type	Part B Supplier - Clinic/group Practice
Provider Identifiers	NPI Number: 1346229440 PECOS PAC ID: 0941260103 Enrollment ID: O20041013000380

Provider Name	Select Physicians Alliance Pl
Provider Type	Part B Supplier - Clinic/group Practice
Provider Identifiers	NPI Number: 1902184781 PECOS PAC ID: 9436323516 Enrollment ID: O20111130000210

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. Calli Keenan Fodor 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
Calli Keenan Fodor, AUD 3711 Usf Citrus Drive, Tampa, FL 33620-0001 Ph: (813) 974-8804	Calli Keenan Fodor, AUD 3711 Usf Citrus Drive, Tampa, FL 33620-3120 Ph: (813) 974-8804

Reviews and Comments

Audiologist in Tampa, FL

Tampa Speech And Hearing Center Inc Audiologist Medicare: Not Enrolled in Medicare Practice Location: 4714 N Armenia Ave, Suite 202, Tampa, FL 33603 Phone: 813-870-3560 Fax: 813-870-0334
Greater Tampa Hearing Aids Llc Audiologist Medicare: Not Enrolled in Medicare Practice Location: 13902 N. Dale Mabry Highway, Suite 106, Tampa, FL 33618 Phone: 813-877-2685 Fax: 813-876-5872
Lisa Faith Gavin, Audiologist Medicare: Accepting Medicare Assignments Practice Location: 5 Tampa General Cir, Suite 610, Tampa, FL 33606 Phone: 813-315-4327 Fax: 813-315-4329
Akon Group Inc Audiologist Medicare: Not Enrolled in Medicare Practice Location: 400 N Ashley Dr Ste 1900, Tampa, FL 33602 Phone: 813-775-2200 Fax: 813-343-2942
Dr. Camilla Kate Diament, AU.D. Audiologist Medicare: Accepting Medicare Assignments Practice Location: 6101 Webb Rd Ste 211, Tampa, FL 33615 Phone: 813-884-4967 Fax: 813-889-0847
Mrs. Elhaum Mcclain, AU.D. Audiologist Medicare: Accepting Medicare Assignments Practice Location: 5 Tampa General Cir Ste 610, Tampa, FL 33606 Phone: 813-315-4327 Fax: 813-315-4329
Constance Alexis Green, AU.D. Audiologist Medicare: Not Enrolled in Medicare Practice Location: 13904 N Dale Mabry Hwy, Suite 200, Tampa, FL 33618 Phone: 813-908-2020 Fax: 813-908-2133

Calli Keenan Fodor, AUD - Medicare Audiologist in Tampa, FL