Kaede Alissa Sasahara, AUD is a medicare enrolled "Audiologist" provider in Peachtree City, Georgia. Her current practice location is
1000 Commerce Dr Ste 200, Peachtree City, Georgia. You can reach out to her office (for appointments etc.) via phone at
(678) 347-2123.
Kaede Alissa Sasahara is licensed to practice in Georgia (license number AUD004346) 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 1417672700.
Healthcare Provider's Profile
| Full Name | Kaede Alissa Sasahara |
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| Gender | Female |
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| Speciality | Audiologist |
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| Location | 1000 Commerce Dr Ste 200, Peachtree City, Georgia |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
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NPI Data:
- NPI Number: 1417672700
- Provider Enumeration Date: 10/10/2022
- Last Update Date: 10/10/2022
Medicare PECOS Information:
- PECOS PAC ID: 5597132217
- Enrollment ID: I20221108003722
Medical Identifiers
Medical identifiers for Kaede Alissa Sasahara such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1417672700 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 231H00000X | Audiologist | AUD004346 (Georgia) | Primary |
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. Kaede Alissa Sasahara allows following entities to bill medicare on her behalf.
| Provider Name | Milton Hall Surgical Associates, Llc |
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| Provider Type | Part B Supplier - Clinic/group Practice |
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| Provider Identifiers | NPI Number: 1649238460
PECOS PAC ID: 6204722887
Enrollment ID: O20040223000652 |
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| Provider Name | American Hearing Centers |
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| Provider Type | Part B Supplier - Clinic/group Practice |
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| Provider Identifiers | NPI Number: 1912190661
PECOS PAC ID: 6002800570
Enrollment ID: O20040408001385 |
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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. Kaede Alissa Sasahara 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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Kaede Alissa Sasahara, AUD
1000 Commerce Dr,
Peachtree City, GA 30269-3520
Ph: () - | Kaede Alissa Sasahara, AUD
1000 Commerce Dr Ste 200,
Peachtree City, GA 30269-3520
Ph: (678) 347-2123 |
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