Leah Nichole Tygum, AUD CCCA is a medicare enrolled "Hearing Instrument Specialist" provider in St Paul, Minnesota. Her current practice location is
345 North Smith Avenue, Childrens Hospitals And Clinics Audiology St Paul, St Paul, Minnesota. You can reach out to her office (for appointments etc.) via phone at
(651) 220-6880.
Leah Nichole Tygum is licensed to practice in Minnesota (license number 7603) 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 1568536910.
Healthcare Provider's Profile
Full Name | Leah Nichole Tygum |
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Gender | Female |
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Speciality | Hearing Instrument Specialist |
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Location | 345 North Smith Avenue, St Paul, Minnesota |
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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: 1568536910
- Provider Enumeration Date: 11/20/2006
- Last Update Date: 07/08/2007
Medicare PECOS Information:
- PECOS PAC ID: 0244538379
- Enrollment ID: I20160406000554
Medical Identifiers
Medical identifiers for Leah Nichole Tygum such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1568536910 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
231H00000X | Audiologist | 7603 (Minnesota) | Primary |
237600000X | Audiologist-hearing Aid Fitter | 7603 (Minnesota) | Primary |
237700000X | Hearing Instrument Specialist | 7603 (Minnesota) | 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. Leah Nichole Tygum allows following entities to bill medicare on her behalf.
Provider Name | Children's Health Care |
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Provider Type | Part B Supplier - Clinic/group Practice |
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Provider Identifiers | NPI Number: 1932208808 PECOS PAC ID: 2668370966 Enrollment ID: O20040406000939 |
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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. Leah Nichole Tygum 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 |
Leah Nichole Tygum, AUD CCCA 2910 Centre Pointe Drive, 35 121a, Roseville, MN 55113 Ph: (651) 855-2109 | Leah Nichole Tygum, AUD CCCA 345 North Smith Avenue, Childrens Hospitals And Clinics Audiology St Paul, St Paul, MN 55102 Ph: (651) 220-6880 |
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