Dr Jody Weissenborn Larimore, AUD, CCC-A is a medicare enrolled "Audiologist" provider in Mount Clemens, Michigan. Her current practice location is
309 N Gratiot Ave, Mount Clemens, Michigan. You can reach out to her office (for appointments etc.) via phone at
(586) 758-5051.
Dr Jody Weissenborn Larimore is licensed to practice in Michigan (license number 1601000081) 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 1679591671.
Healthcare Provider's Profile
| Full Name | Dr Jody Weissenborn Larimore |
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| Gender | Female |
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| Speciality | Audiologist |
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| Location | 309 N Gratiot Ave, Mount Clemens, Michigan |
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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: 1679591671
- Provider Enumeration Date: 07/17/2006
- Last Update Date: 02/07/2012
Medicare PECOS Information:
- PECOS PAC ID: 3375553084
- Enrollment ID: I20060426000076
Medical Identifiers
Medical identifiers for Dr Jody Weissenborn Larimore such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1679591671 | NPI | - | NPPES |
| 1679591671 | Medicaid | MI | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 231H00000X | Audiologist | 1601000081 (Michigan) | 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 Jody Weissenborn Larimore allows following entities to bill medicare on her behalf.
| Provider Name | Michigan Healthcare Professionals Pc |
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| Provider Type | Part B Supplier - Clinic/group Practice |
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| Provider Identifiers | NPI Number: 1295023547
PECOS PAC ID: 0345413258
Enrollment ID: O20111109000027 |
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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 Jody Weissenborn Larimore 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 |
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Dr Jody Weissenborn Larimore, AUD, CCC-A
309 N Gratiot Ave,
Mount Clemens, MI 48043-5748
Ph: (586) 758-5051 | Dr Jody Weissenborn Larimore, AUD, CCC-A
309 N Gratiot Ave,
Mount Clemens, MI 48043-5748
Ph: (586) 758-5051 |
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