Hearing Diagnostics Center Pc is a medicare enrolled "Audiologist-hearing Aid Fitter" provider in Goshen, Indiana. Their current practice location is
1206 College Ave, Suite 1, Goshen, Indiana. You can reach out to their office (for appointments etc.) via phone at
(574) 534-4171.
Hearing Diagnostics Center Pc is licensed to practice in Indiana (license number 58000001A) and it also participates in the medicare program. Hearing Diagnostics Center Pc
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 1083697510.
Healthcare Provider's Profile
Full Name | Hearing Diagnostics Center Pc |
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Type | Facility |
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Speciality | Audiologist-hearing Aid Fitter |
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Location | 1206 College Ave, Goshen, Indiana |
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Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1083697510
- Provider Enumeration Date: 11/29/2005
- Last Update Date: 11/07/2013
Medicare PECOS Information:
- PECOS PAC ID: 5395797492
- Enrollment ID: O20050217000149
Medical Identifiers
Medical identifiers for Hearing Diagnostics Center Pc such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1083697510 | NPI | - | NPPES |
0303310002 | Other | IN | ADMINISTAR |
000000087117 | Other | | ANTHEM BCBS AUDIOLOGY |
100113470A | Medicaid | IN | |
000000201762 | Other | IN | HA SUPPLIER (DME) |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
231H00000X | Audiologist | 58000001A (Indiana) | Secondary |
237600000X | Audiologist-hearing Aid Fitter | 58000001A (Indiana) | Primary |
Medicare Reassignments
Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works.
Hearing Diagnostics Center Pc acts as a billing entity for following providers:
Provider Name | David Courtland Craig |
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Provider Type | Practitioner - Qualified Audiologist |
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Provider Identifiers | NPI Number: 1811082100 PECOS PAC ID: 4082667431 Enrollment ID: I20050224000935 |
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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. Hearing Diagnostics Center Pc 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 |
Hearing Diagnostics Center Pc 1206 College Ave, Suite 1, Goshen, IN 46526-4937 Ph: (574) 534-4171 | Hearing Diagnostics Center Pc 1206 College Ave, Suite 1, Goshen, IN 46526-4937 Ph: (574) 534-4171 |
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