Lake Audiology & Hearing Center Llc is a medicare enrolled "Audiologist" provider in Mount Dora, Florida. Their current practice location is
17521 Us Highway 441 Ste 9, Mount Dora, Florida. You can reach out to their office (for appointments etc.) via phone at
(352) 729-0849.
Lake Audiology & Hearing Center Llc is licensed to practice in Florida (license number AY1457) and it also participates in the medicare program. Lake Audiology & Hearing Center Llc
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 1902280167.
Healthcare Provider's Profile
| Full Name | Lake Audiology & Hearing Center Llc |
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| Type | Facility |
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| Speciality | Audiologist |
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| Location | 17521 Us Highway 441 Ste 9, Mount Dora, Florida |
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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: 1902280167
- Provider Enumeration Date: 07/16/2015
- Last Update Date: 02/23/2019
Medicare PECOS Information:
- PECOS PAC ID: 2365738069
- Enrollment ID: O20160907000024
Medical Identifiers
Medical identifiers for Lake Audiology & Hearing Center Llc such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1902280167 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 231H00000X | Audiologist | AY1457 (Florida) | Primary |
Medicare Reassignments
Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works.
Lake Audiology & Hearing Center Llc acts as a billing entity for following providers:
| Provider Name | Ericka C Devore |
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| Provider Type | Practitioner - Qualified Audiologist |
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| Provider Identifiers | NPI Number: 1073721452
PECOS PAC ID: 9638249576
Enrollment ID: I20080603000835 |
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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. Lake Audiology & Hearing Center Llc 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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Lake Audiology & Hearing Center Llc
17521 Us Highway 441 Ste 9,
Mount Dora, FL 32757-6737
Ph: (352) 729-0848 | Lake Audiology & Hearing Center Llc
17521 Us Highway 441 Ste 9,
Mount Dora, FL 32757-6737
Ph: (352) 729-0849 |
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