Horan & Fevold Hearing Clinic, Pllc is a medicare enrolled "Audiologist" provider in Moses Lake, Washington. Their current practice location is
423 W 3rd Ave Ste A, Moses Lake, Washington. You can reach out to their office (for appointments etc.) via phone at
(509) 764-8642.
Horan & Fevold Hearing Clinic, Pllc is licensed to practice in Washington (license number LD00001204) and it also participates in the medicare program. Horan & Fevold Hearing Clinic, 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 1467774703.
Healthcare Provider's Profile
| Full Name | Horan & Fevold Hearing Clinic, Pllc |
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| Type | Facility |
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| Speciality | Audiologist |
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| Location | 423 W 3rd Ave Ste A, Moses Lake, Washington |
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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: 1467774703
- Provider Enumeration Date: 02/26/2010
- Last Update Date: 04/19/2012
Medicare PECOS Information:
- PECOS PAC ID: 8325174659
- Enrollment ID: O20100325001057
Medical Identifiers
Medical identifiers for Horan & Fevold Hearing Clinic, Pllc such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1467774703 | NPI | - | NPPES |
| 1000980 | Medicaid | WA | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 231H00000X | Audiologist | LD00001204 (Washington) | Primary |
Medicare Reassignments
Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works.
Horan & Fevold Hearing Clinic, Pllc acts as a billing entity for following providers:
| Provider Name | Justin M Fevold |
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| Provider Type | Practitioner - Qualified Audiologist |
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| Provider Identifiers | NPI Number: 1982635934
PECOS PAC ID: 0941299788
Enrollment ID: I20041026000390 |
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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. Horan & Fevold Hearing Clinic, 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 |
|---|
Horan & Fevold Hearing Clinic, Pllc
423 W 3rd Ave Ste A,
Moses Lake, WA 98837-3837
Ph: (509) 764-8642 | Horan & Fevold Hearing Clinic, Pllc
423 W 3rd Ave Ste A,
Moses Lake, WA 98837-3837
Ph: (509) 764-8642 |
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