Kelly Brown, AUD is a medicare enrolled "Audiologist" provider in Chantilly, Virginia. Her current practice location is
14102 Sullyfield Cir Ste 350c, Chantilly, Virginia. You can reach out to her office (for appointments etc.) via phone at
(703) 291-9047.
Kelly Brown is licensed to practice in Virginia (license number 2201001909) 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 1376137067.
Healthcare Provider's Profile
| Full Name | Kelly Brown |
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| Gender | Female |
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| Speciality | Audiologist |
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| Location | 14102 Sullyfield Cir Ste 350c, Chantilly, Virginia |
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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: 1376137067
- Provider Enumeration Date: 02/24/2021
- Last Update Date: 04/05/2023
Medicare PECOS Information:
- PECOS PAC ID: 9436516150
- Enrollment ID: I20230612000004
Medical Identifiers
Medical identifiers for Kelly Brown such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1376137067 | NPI | - | NPPES |
| 2201001909 | Other | VA | VIRGINIA AUDIOLOGY LICENSE |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 231H00000X | Audiologist | AUD004261 (Georgia) | Secondary |
| 231H00000X | Audiologist | 2201001909 (Virginia) | 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. Kelly Brown allows following entities to bill medicare on her behalf.
| Provider Name | Family Hearing Services Inc |
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| Provider Type | Part B Supplier - Clinic/group Practice |
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| Provider Identifiers | NPI Number: 1912396243
PECOS PAC ID: 6800108358
Enrollment ID: O20150713000147 |
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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. Kelly Brown 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 |
|---|
Kelly Brown, AUD
2987 District Ave Apt 524,
Fairfax, VA 22031-1537
Ph: (404) 401-9250 | Kelly Brown, AUD
14102 Sullyfield Cir Ste 350c,
Chantilly, VA 20151-1672
Ph: (703) 291-9047 |
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