Haley Jordan Johnson, AUD is a medicare enrolled "Audiologist-hearing Aid Fitter" provider in Conway, Arkansas. Her current practice location is
2425 Dave Ward Dr Ste 101, Conway, Arkansas. You can reach out to her office (for appointments etc.) via phone at
(501) 932-7600.
Haley Jordan Johnson is licensed to practice in Arkansas (license number 200751) 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 1356914220.
Healthcare Provider's Profile
Full Name | Haley Jordan Johnson |
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Gender | Female |
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Speciality | Audiologist-hearing Aid Fitter |
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Location | 2425 Dave Ward Dr Ste 101, Conway, Arkansas |
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Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1356914220
- Provider Enumeration Date: 07/20/2021
- Last Update Date: 08/05/2021
Medicare PECOS Information:
- PECOS PAC ID: 7517364870
- Enrollment ID: I20210929001526
Medical Identifiers
Medical identifiers for Haley Jordan Johnson such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1356914220 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
231H00000X | Audiologist | 200751 (Arkansas) | Secondary |
237600000X | Audiologist-hearing Aid Fitter | 200751 (Arkansas) | 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. Haley Jordan Johnson allows following entities to bill medicare on her behalf.
Provider Name | Little Rock Audiology Clinic, Inc. |
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Provider Type | Part B Supplier - Clinic/group Practice |
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Provider Identifiers | NPI Number: 1790298248 PECOS PAC ID: 0749547743 Enrollment ID: O20171129002413 |
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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. Haley Jordan Johnson 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 |
Haley Jordan Johnson, AUD 2425 Dave Ward Dr Ste 101, Conway, AR 72034-8679 Ph: (501) 932-7600 | Haley Jordan Johnson, AUD 2425 Dave Ward Dr Ste 101, Conway, AR 72034-8679 Ph: (501) 932-7600 |
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