Dr Tanya Stathopoulos, AUD is a medicare enrolled "Audiologist" provider in Centereach, New York. Her current practice location is
2297 Middle Country Rd, Centereach, New York. You can reach out to her office (for appointments etc.) via phone at
(631) 585-1212.
Dr Tanya Stathopoulos is licensed to practice in New York (license number 002503-1) 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 1619306081.
Healthcare Provider's Profile
| Full Name | Dr Tanya Stathopoulos |
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| Gender | Female |
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| Speciality | Audiologist |
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| Location | 2297 Middle Country Rd, Centereach, New York |
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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: 1619306081
- Provider Enumeration Date: 11/06/2013
- Last Update Date: 11/06/2013
Medicare PECOS Information:
- PECOS PAC ID: 7214167931
- Enrollment ID: I20140225001516
Medical Identifiers
Medical identifiers for Dr Tanya Stathopoulos such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1619306081 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 231H00000X | Audiologist | 002503-1 (New York) | 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 Tanya Stathopoulos allows following entities to bill medicare on her behalf.
| Provider Name | Northland Hearing Centers Inc |
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| Provider Type | Part B Supplier - Clinic/group Practice |
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| Provider Identifiers | NPI Number: 1225070667
PECOS PAC ID: 3072514884
Enrollment ID: O20100624000188 |
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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 Tanya Stathopoulos 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 Tanya Stathopoulos, AUD
2297 Middle Country Rd,
Centereach, NY 11720-3666
Ph: (631) 585-1212 | Dr Tanya Stathopoulos, AUD
2297 Middle Country Rd,
Centereach, NY 11720-3666
Ph: (631) 585-1212 |
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