Kendra Lenee Theodosopoulos, AUD is a medicare enrolled "Audiologist" provider in Peru, Illinois. She graduated from medical school in 2016 and has 8 years of diverse experience with area of expertise as Qualified Audiologist. She is a member of the group practice Theos Audiology Solutions Llc and her current practice location is
2200 Marquette Rd Ste 115, Peru, Illinois. You can reach out to her office (for appointments etc.) via phone at
(815) 223-1100.
Kendra Lenee Theodosopoulos is licensed to practice in Illinois (license number 147001591) and she also participates in the medicare program. She
accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1912368416.
Healthcare Provider's Profile
Full Name | Kendra Lenee Theodosopoulos |
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Gender | Female |
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Speciality | Qualified Audiologist |
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Experience | 8 Years |
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Location | 2200 Marquette Rd Ste 115, Peru, Illinois |
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Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Medical Education and Training:
- Kendra Lenee Theodosopoulos graduated from medical school in 2016
NPI Data:
- NPI Number: 1912368416
- Provider Enumeration Date: 03/10/2016
- Last Update Date: 02/14/2019
Medicare PECOS Information:
- PECOS PAC ID: 3678866175
- Enrollment ID: I20160721000212
Medical Identifiers
Medical identifiers for Kendra Lenee Theodosopoulos such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1912368416 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
231H00000X | Audiologist | 147001591 (Illinois) | Primary |
Group Practice Association
Group Practice Name | Group PECOS PAC ID | No. of Members |
Theos Audiology Solutions Llc | 0840535258 | 2 |
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. Kendra Lenee Theodosopoulos allows following entities to bill medicare on her behalf.
Provider Name | Americans For Better Hearing Foundation |
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Provider Type | Part B Supplier - Clinic/group Practice |
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Provider Identifiers | NPI Number: 1316243942 PECOS PAC ID: 3375720725 Enrollment ID: O20110610000655 |
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Provider Name | Theos Audiology Solutions Llc |
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Provider Type | Part B Supplier - Clinic/group Practice |
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Provider Identifiers | NPI Number: 1740762269 PECOS PAC ID: 0840535258 Enrollment ID: O20181212003360 |
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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. Kendra Lenee Theodosopoulos 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 |
Kendra Lenee Theodosopoulos, AUD 2200 Marquette Rd Ste 115, Peru, IL 61354-1587 Ph: (815) 223-1100 | Kendra Lenee Theodosopoulos, AUD 2200 Marquette Rd Ste 115, Peru, IL 61354-1587 Ph: (815) 223-1100 |
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