- Medicare in Princeton, WV

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is a medicare enrolled "Hearing Aid Equipment" provider in Princeton, West Virginia. Their current practice location is 508 New Hope Road, Suite #19, Princeton, West Virginia. You can reach out to their office (for appointments etc.) via phone at (304) 487-2487.

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 1073580817.

Contact Information

508 New Hope Road, Suite #19,
Princeton, WV 24740-2272
(304) 487-2487
(304) 431-3367

Map and Direction




Healthcare Provider's Profile

Full Name
TypeFacility
SpecialityHearing Aid Equipment
Location508 New Hope Road, Princeton, West Virginia
Accepts Medicare AssignmentsMedicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1073580817
  • Provider Enumeration Date: 03/01/2006
  • Last Update Date: 06/05/2013
  Medicare PECOS Information:
  • PECOS PAC ID: 1052300357
  • Enrollment ID: O20040511001102

Medical Identifiers

Medical identifiers for such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1073580817NPI-NPPES
CC3775OtherPALMETTO GBA RR MEDICARE
4250000-000MedicaidWV
4250000000MedicaidWV
PR9319052OtherPALMETTO GBA MEDICARE PTAN NUMBER BLFD OFFICE
3810002482MedicaidWV
PR9319051OtherPALMETTO GBA MEDICARE PTAN NUMBER PCTN OFFICE

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
231H00000XAudiologist (* (Not Available))Secondary
235Z00000XSpeech-language Pathologist (* (Not Available))Secondary
332S00000XHearing Aid Equipment (* (Not Available))Primary

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 NameSharon Lynne Jividen
Provider TypePractitioner - Qualified Audiologist
Provider IdentifiersNPI Number: 1609843440
PECOS PAC ID: 1355394941
Enrollment ID: I20050223000524
Provider NameAlan L Desmond
Provider TypePractitioner - Qualified Audiologist
Provider IdentifiersNPI Number: 1275501439
PECOS PAC ID: 6709875917
Enrollment ID: I20101110000671
Provider NameTara J Minnix-harmon
Provider TypePractitioner - Qualified Audiologist
Provider IdentifiersNPI Number: 1962799338
PECOS PAC ID: 4183896897
Enrollment ID: I20110930000180
Provider NameLindsey S Underwood
Provider TypePractitioner - Qualified Audiologist
Provider IdentifiersNPI Number: 1831502384
PECOS PAC ID: 8224255435
Enrollment ID: I20140812002082

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

508 New Hope Road, Suite #19,
Princeton, WV 24740-2272

Ph: (304) 487-2487
508 New Hope Road, Suite #19,
Princeton, WV 24740-2272

Ph: (304) 487-2487

Reviews and Comments



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.