Chippendale Audiology is a medicare enrolled "Audiologist-hearing Aid Fitter" provider in Cape Coral, Florida. Their current practice location is
1224 Del Prado Blvd S, Suite C, Cape Coral, Florida. You can reach out to their office (for appointments etc.) via phone at
(239) 772-0940.
Chippendale Audiology is licensed to practice in Florida (license number AY302) and it also participates in the medicare program. Chippendale Audiology
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 1629320957.
Healthcare Provider's Profile
| Full Name | Chippendale Audiology |
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| Type | Facility |
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| Speciality | Audiologist-hearing Aid Fitter |
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| Location | 1224 Del Prado Blvd S, Cape Coral, Florida |
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| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
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NPI Data:
- NPI Number: 1629320957
- Provider Enumeration Date: 10/10/2012
- Last Update Date: 08/04/2014
Medicare PECOS Information:
- PECOS PAC ID: 3274784426
- Enrollment ID: O20121115000420
Medical Identifiers
Medical identifiers for Chippendale Audiology such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1629320957 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 231H00000X | Audiologist | AY302 (Florida) | Secondary |
| 237600000X | Audiologist-hearing Aid Fitter | AY302 (Florida) | Primary |
Medicare Reassignments
Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works.
Chippendale Audiology acts as a billing entity for following providers:
| Provider Name | Maura L Chippendale |
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| Provider Type | Practitioner - Qualified Audiologist |
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| Provider Identifiers | NPI Number: 1285624247
PECOS PAC ID: 4385790849
Enrollment ID: I20090924000345 |
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| Provider Name | Crystal Goetz |
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| Provider Type | Practitioner - Qualified Audiologist |
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| Provider Identifiers | NPI Number: 1770763559
PECOS PAC ID: 4880849942
Enrollment ID: I20130221000534 |
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| Provider Name | David G Shropshire |
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| Provider Type | Practitioner - Qualified Audiologist |
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| Provider Identifiers | NPI Number: 1588289607
PECOS PAC ID: 4385060680
Enrollment ID: I20200818000562 |
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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. Chippendale Audiology 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 |
|---|
Chippendale Audiology
6215 Brookshire Ter,
Fort Myers, FL 33912-4239
Ph: (239) 994-8322 | Chippendale Audiology
1224 Del Prado Blvd S, Suite C,
Cape Coral, FL 33990-3670
Ph: (239) 772-0940 |
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