Heartland Hearing Professionals Pllc is a medicare enrolled "Audiologist - Assistive Technology Practitioner" provider in West Fargo, North Dakota. Their current practice location is
3139 Blue Stem Dr Ste 108, West Fargo, North Dakota. You can reach out to their office (for appointments etc.) via phone at
(701) 639-4595.
Heartland Hearing Professionals Pllc is licensed to practice in North Dakota (license number 989) and it also participates in the medicare program. Heartland Hearing Professionals Pllc
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 1922542919.
Healthcare Provider's Profile
| Full Name | Heartland Hearing Professionals Pllc |
|---|
| Type | Facility |
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| Speciality | Audiologist - Assistive Technology Practitioner |
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| Location | 3139 Blue Stem Dr Ste 108, West Fargo, North Dakota |
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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: 1922542919
- Provider Enumeration Date: 12/08/2016
- Last Update Date: 12/28/2016
Medicare PECOS Information:
- PECOS PAC ID: 2961786041
- Enrollment ID: O20170309001509
Medical Identifiers
Medical identifiers for Heartland Hearing Professionals Pllc such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1922542919 | NPI | - | NPPES |
| 1023297348 | Medicaid | MN | |
| 1458557 | Medicaid | ND | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 231HA2400X | Audiologist - Assistive Technology Practitioner | 989 (North Dakota) | Primary |
Medicare Reassignments
Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works.
Heartland Hearing Professionals Pllc acts as a billing entity for following providers:
| Provider Name | Rose Brakke |
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| Provider Type | Practitioner - Qualified Audiologist |
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| Provider Identifiers | NPI Number: 1023297348
PECOS PAC ID: 3870681935
Enrollment ID: I20071127000146 |
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| Provider Name | Kelcey J Cushman-niedermeier |
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| Provider Type | Practitioner - Qualified Audiologist |
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| Provider Identifiers | NPI Number: 1598003048
PECOS PAC ID: 7113143165
Enrollment ID: I20200109000478 |
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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. Heartland Hearing Professionals Pllc 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 |
|---|
Heartland Hearing Professionals Pllc
3139 Blue Stem Dr Ste 108,
West Fargo, ND 58078-8060
Ph: (701) 639-4595 | Heartland Hearing Professionals Pllc
3139 Blue Stem Dr Ste 108,
West Fargo, ND 58078-8060
Ph: (701) 639-4595 |
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