Dr Raena Sue Deperry, AUD - Medicare Audiologist in Hudson, WI

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Dr Raena Sue Deperry, AUD is a medicare enrolled "Audiologist" provider in Hudson, Wisconsin. She graduated from medical school in 2007 and has 17 years of diverse experience with area of expertise as Qualified Audiologist. She is a member of the group practice Jka5 Hudson Inc and her current practice location is 401 Stageline Rd, Ste. 6, Hudson, Wisconsin. You can reach out to her office (for appointments etc.) via phone at (715) 531-6710.

Dr Raena Sue Deperry is licensed to practice in Wisconsin (license number 515-156) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1114018447.

Contact Information

Dr Raena Sue Deperry, AUD
401 Stageline Rd, Ste. 6,
Hudson, WI 54016-7897
(715) 531-6710
(715) 531-6711

Map and Direction




Healthcare Provider's Profile

Full NameDr Raena Sue Deperry
GenderFemale
SpecialityQualified Audiologist
Experience17 Years
Location401 Stageline Rd, Hudson, Wisconsin
Accepts Medicare AssignmentsYes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Dr Raena Sue Deperry graduated from medical school in 2007
  NPI Data:
  • NPI Number: 1114018447
  • Provider Enumeration Date: 09/28/2006
  • Last Update Date: 12/12/2007
  Medicare PECOS Information:
  • PECOS PAC ID: 5092896233
  • Enrollment ID: I20080114000841

Medical Identifiers

Medical identifiers for Dr Raena Sue Deperry such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1114018447NPI-NPPES
849410000OtherMNMHCP

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
231H00000XAudiologist 8072 (Micronesia)Secondary
231H00000XAudiologist 515-156 (Wisconsin)Primary

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Jka5 Hudson Inc18506610752

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 Raena Sue Deperry allows following entities to bill medicare on her behalf.
Provider NameJka5 Hudson Inc
Provider TypePart B Supplier - Clinic/group Practice
Provider IdentifiersNPI Number: 1417484239
PECOS PAC ID: 1850661075
Enrollment ID: O20170720003052

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 Raena Sue Deperry 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
Dr Raena Sue Deperry, AUD
1119 State St Apt 164,
River Falls, WI 54022-3403

Ph: (715) 426-0223		Dr Raena Sue Deperry, AUD
401 Stageline Rd, Ste. 6,
Hudson, WI 54016-7897

Ph: (715) 531-6710

Reviews and Comments


Audiologist in Hudson, WI

Mrs. Deirdre Ann Worrell, MS
Audiologist
Medicare: Not Enrolled in Medicare
Practice Location: 1516 North Ridge Dr, Hudson, WI 54016
Phone: 715-386-1760    
Amdahl Hearing
Audiologist
Medicare: Medicare Enrolled
Practice Location: 411 Stageline Rd # 290, Hudson, WI 54016
Phone: 715-531-6710    
Mrs. Michele Anne Drevnick, M.S., F-AAA
Audiologist
Medicare: Not Enrolled in Medicare
Practice Location: 401 Stageline Rd, Suite 6, Hudson, WI 54016
Phone: 715-531-6710    Fax: 715-531-6711
Hudson Hearing & Speech Clinic Inc
Audiologist
Medicare: Not Enrolled in Medicare
Practice Location: 401 Stageline Rd, Suite 6, Hudson, WI 54016
Phone: 715-531-6710    Fax: 715-531-6711

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.