- Medicare Audiologist in Modesto, CA

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is a medicare enrolled "Audiologist" provider in Modesto, California. Their current practice location is 1729 Tully Rd Ste 1, Modesto, California. You can reach out to their office (for appointments etc.) via phone at (209) 678-1420.

is licensed to practice in * (Not Available) (license number ) and it also participates in the medicare program. 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 1134745888.

Contact Information

1729 Tully Rd Ste 1,
Modesto, CA 95350-4081
(209) 678-1420
Not Available

Map and Direction




Healthcare Provider's Profile

Full Name
TypeFacility
SpecialityAudiologist
Location1729 Tully Rd Ste 1, Modesto, California
Accepts Medicare AssignmentsMedicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1134745888
  • Provider Enumeration Date: 06/18/2020
  • Last Update Date: 11/07/2023
  Medicare PECOS Information:
  • PECOS PAC ID: 6800285461
  • Enrollment ID: O20211119001857

Medical Identifiers

Medical identifiers for such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1134745888NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
231H00000XAudiologist (* (Not Available))Primary
237700000XHearing Instrument Specialist (* (Not Available))Secondary
261QH0700XClinic/center - Hearing And Speech (* (Not Available))Secondary
332S00000XHearing Aid Equipment (* (Not Available))Secondary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. acts as a billing entity for following providers:
Provider NameLetta D Wesley
Provider TypePractitioner - Qualified Audiologist
Provider IdentifiersNPI Number: 1699949883
PECOS PAC ID: 4082785894
Enrollment ID: I20080623000516

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. 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 AddressPractice Location Address

1729 Tully Rd Ste 1,
Modesto, CA 95350-4081

Ph: (209) 678-1420
1729 Tully Rd Ste 1,
Modesto, CA 95350-4081

Ph: (209) 678-1420

Reviews and Comments


Audiologist in Modesto, CA

Ms. Theresa Kathryn Wilksen, M.A.
Audiologist
Medicare: Not Enrolled in Medicare
Practice Location: 3401 Dale Rd, Modesto, CA 95356
Phone: 209-527-7739    Fax: 209-521-0776
Dr. Carissa Lamore, AU.D.
Audiologist
Medicare: Accepting Medicare Assignments
Practice Location: 600 Coffee Rd, Modesto, CA 95355
Phone: 209-521-6097    
Andrea Nichole Edgerton, AU.D.
Audiologist
Medicare: Accepting Medicare Assignments
Practice Location: 600 Coffee Rd, Modesto, CA 95355
Phone: 209-524-1211    

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.