Dr Jacey Raenelle Courser, AUD is a medicare enrolled "Audiologist" provider in St Johnsbury, Vermont. Her current practice location is
1315 Hospital Dr, St Johnsbury, Vermont. You can reach out to her office (for appointments etc.) via phone at
(802) 748-2984.
Dr Jacey Raenelle Courser is licensed to practice in Vermont (license number 8051143) 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 1891046363.
Healthcare Provider's Profile
| Full Name | Dr Jacey Raenelle Courser |
|---|
| Gender | Female |
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| Speciality | Audiologist |
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| Location | 1315 Hospital Dr, St Johnsbury, Vermont |
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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: 1891046363
- Provider Enumeration Date: 09/25/2012
- Last Update Date: 04/19/2017
Medicare PECOS Information:
- PECOS PAC ID: 5294987012
- Enrollment ID: I20191218002389
Medical Identifiers
Medical identifiers for Dr Jacey Raenelle Courser such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1891046363 | NPI | - | NPPES |
| 1021087 | Medicaid | VT | |
| 3084249 | Medicaid | NH | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 231H00000X | Audiologist | A615 (New Hampshire) | Secondary |
| 231H00000X | Audiologist | 8051143 (Vermont) | 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. Dr Jacey Raenelle Courser allows following entities to bill medicare on her behalf.
| Provider Name | Audiology Services Company Usa Llc |
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| Provider Type | Part B Supplier - Clinic/group Practice |
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| Provider Identifiers | NPI Number: 1033585302
PECOS PAC ID: 9032414701
Enrollment ID: O20170524002881 |
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| Provider Name | Accuquest Hearing Center Llc |
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| Provider Type | Part B Supplier - Clinic/group Practice |
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| Provider Identifiers | NPI Number: 1629261078
PECOS PAC ID: 8123433463
Enrollment ID: O20210223001917 |
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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. Dr Jacey Raenelle Courser 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 |
|---|
Dr Jacey Raenelle Courser, AUD
Po Box 905,
St Johnsbury, VT 05819-0905
Ph: (802) 748-8141 | Dr Jacey Raenelle Courser, AUD
1315 Hospital Dr,
St Johnsbury, VT 05819-9210
Ph: (802) 748-2984 |
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