Harbor Hearing Services, Professional Corporation is a medicare enrolled "Audiologist" provider in San Pedro, California. Their current practice location is
1360 W 6th St Ste 243, San Pedro, California. You can reach out to their office (for appointments etc.) via phone at
(424) 570-0117.
Harbor Hearing Services, Professional Corporation is licensed to practice in * (Not Available) (license number ) and it also participates in the medicare program. Harbor Hearing Services, Professional Corporation
is enrolled with medicare and should accept medicare assignments and since they are enrolled in medicare, they may order Medicare Part D Prescription drugs, if eligible. The facility's NPI Number is 1568947430.
Healthcare Provider's Profile
| Full Name | Harbor Hearing Services, Professional Corporation |
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| Type | Facility |
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| Speciality | Audiologist |
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| Location | 1360 W 6th St Ste 243, San Pedro, California |
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| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
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NPI Data:
- NPI Number: 1568947430
- Provider Enumeration Date: 09/26/2018
- Last Update Date: 09/26/2018
Medicare PECOS Information:
- PECOS PAC ID: 7315281110
- Enrollment ID: O20181205001831
Medical Identifiers
Medical identifiers for Harbor Hearing Services, Professional Corporation such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1568947430 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 231H00000X | Audiologist | (* (Not Available)) | Primary |
Medicare Reassignments
Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works.
Harbor Hearing Services, Professional Corporation acts as a billing entity for following providers:
| Provider Name | Ryan Douglas Bullock |
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| Provider Type | Practitioner - Qualified Audiologist |
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| Provider Identifiers | NPI Number: 1184976409
PECOS PAC ID: 5799914289
Enrollment ID: I20140203001038 |
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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. Harbor Hearing Services, Professional Corporation 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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Harbor Hearing Services, Professional Corporation
600 Monterey Blvd,
Hermosa Beach, CA 90254-4582
Ph: (479) 459-2261 | Harbor Hearing Services, Professional Corporation
1360 W 6th St Ste 243,
San Pedro, CA 90732-3589
Ph: (424) 570-0117 |
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