Jane P Whitehead, is a medicare enrolled "Audiologist" provider in Putnam, Connecticut. Her current practice location is
145 Pomfret St, Putnam, Connecticut. You can reach out to her office (for appointments etc.) via phone at
(860) 928-7330.
Jane P Whitehead is licensed to practice in Connecticut (license number 197) 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 1700037793.
Healthcare Provider's Profile
Full Name | Jane P Whitehead |
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Gender | Female |
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Speciality | Audiologist |
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Location | 145 Pomfret St, Putnam, Connecticut |
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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: 1700037793
- Provider Enumeration Date: 10/08/2008
- Last Update Date: 10/27/2017
Medicare PECOS Information:
- PECOS PAC ID: 9032270749
- Enrollment ID: I20081212000204
Medical Identifiers
Medical identifiers for Jane P Whitehead such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1700037793 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
231H00000X | Audiologist | 197 (Connecticut) | Primary |
237600000X | Audiologist-hearing Aid Fitter | 197 (Connecticut) | Secondary |
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. Jane P Whitehead allows following entities to bill medicare on her behalf.
Provider Name | Ear, Nose & Throat Associates Of Worcester, Inc. |
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Provider Type | Part B Supplier - Clinic/group Practice |
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Provider Identifiers | NPI Number: 1285620609 PECOS PAC ID: 7416024419 Enrollment ID: O20090519000142 |
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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. Jane P Whitehead 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 |
Jane P Whitehead, 145 Pomfret St, Putnam, CT 06260-1803 Ph: (860) 928-7330 | Jane P Whitehead, 145 Pomfret St, Putnam, CT 06260-1803 Ph: (860) 928-7330 |
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