Dr Jacinto Thomas Fragoso, AUD in Avon, IN - Medicare Audiologist Provider

Dr Jacinto Thomas Fragoso, AUD is a medicare enrolled "Audiologist" provider in Avon, Indiana. His current practice location is 1115 Ronald Reagan Pkwy Ste 254, Avon, Indiana. You can reach out to his office (for appointments etc.) via phone at (317) 944-6467.

Dr Jacinto Thomas Fragoso is licensed to practice in Indiana (license number 23002773A) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1063038453.

Contact Information

	Dr Jacinto Thomas Fragoso, AUD
	1115 Ronald Reagan Pkwy Ste 254, Avon, IN 46123-6911
	(317) 944-6467
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Dr Jacinto Thomas Fragoso
Gender	Male
Speciality	Audiologist
Location	1115 Ronald Reagan Pkwy Ste 254, Avon, Indiana
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1063038453
Provider Enumeration Date: 06/22/2020
Last Update Date: 03/14/2023

Medicare PECOS Information:

PECOS PAC ID: 6103242680
Enrollment ID: I20230222001999

Medical Identifiers

Medical identifiers for Dr Jacinto Thomas Fragoso such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1063038453	NPI	-	NPPES
063220089	Other	IN	MEDICARE
300071172	Medicaid	IN

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
231H00000X	Audiologist	1601000873 (Michigan)	Secondary
231H00000X	Audiologist	A.02322 (Ohio)	Secondary
231H00000X	Audiologist	23002773A (Indiana)	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 Jacinto Thomas Fragoso allows following entities to bill medicare on his behalf.

Provider Name	University Otolaryngology Associates, Inc.
Provider Type	Part B Supplier - Clinic/group Practice
Provider Identifiers	NPI Number: 1275563447 PECOS PAC ID: 4587550645 Enrollment ID: O20040225000643

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 Jacinto Thomas Fragoso 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 Jacinto Thomas Fragoso, AUD 250 N Shadeland Ave, Indianapolis, IN 46219-4959 Ph: () -	Dr Jacinto Thomas Fragoso, AUD 1115 Ronald Reagan Pkwy Ste 254, Avon, IN 46123-6911 Ph: (317) 944-6467

Reviews and Comments

Audiologist in Avon, IN

Gabrielle N Hahn, AUD Audiologist Medicare: Accepting Medicare Assignments Practice Location: 1115 Ronald Reagan Pkwy Ste 255, Avon, IN 46123 Phone: 317-844-7059 Fax: 317-819-0044
Rebecca J Trepcos-klinger, AUD Audiologist Medicare: Accepting Medicare Assignments Practice Location: 1115 Ronald Reagan Pkwy, Ste 254, Avon, IN 46123 Phone: 317-705-2700 Fax: 317-575-3795
Laurie Ann Miranda, AUD Audiologist Medicare: Medicare Enrolled Practice Location: 1115 Ronald Reagan Pkwy Ste 254, Avon, IN 46123 Phone: 317-944-6467
Connect Hearing Audiologist Medicare: Not Enrolled in Medicare Practice Location: 5250 E Us Highway 36, Ste 155, Avon, IN 46123 Phone: 317-745-7849 Fax: 317-745-6112
Amanda N Crishon, AUD Audiologist Medicare: Accepting Medicare Assignments Practice Location: 1115 Ronald Reagan Pkwy, Ste 225, Avon, IN 46123 Phone: 317-844-7059 Fax: 317-819-0044
Carly J Yoder, AU.D., CCC-A Audiologist Medicare: Accepting Medicare Assignments Practice Location: 1115 Ronald Reagan Pkwy Ste 255, Avon, IN 46123 Phone: 317-844-7059 Fax: 317-819-0044

Dr Jacinto Thomas Fragoso, AUD - Medicare Audiologist in Avon, IN