Lisa Janicki, MS, CCC-A is a medicare enrolled "Audiologist" provider in East Providence, Rhode Island. Her current practice location is
999 S Broadway, East Providence, Rhode Island. You can reach out to her office (for appointments etc.) via phone at
(401) 431-5100.
Lisa Janicki is licensed to practice in Rhode Island (license number 00131) 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 1225339062.
Healthcare Provider's Profile
| Full Name | Lisa Janicki |
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| Gender | Female |
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| Speciality | Audiologist |
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| Location | 999 S Broadway, East Providence, Rhode Island |
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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: 1225339062
- Provider Enumeration Date: 11/10/2010
- Last Update Date: 09/13/2022
Medicare PECOS Information:
- PECOS PAC ID: 0749656056
- Enrollment ID: I20221011002532
Medical Identifiers
Medical identifiers for Lisa Janicki such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1225339062 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 231H00000X | Audiologist | 000131 (Rhode Island) | Secondary |
| 231H00000X | Audiologist | 00131 (Rhode Island) | 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. Lisa Janicki allows following entities to bill medicare on her behalf.
| Provider Name | Gateway Hearing Solutions, Inc |
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| Provider Type | Part B Supplier - Clinic/group Practice |
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| Provider Identifiers | NPI Number: 1992214217
PECOS PAC ID: 6305108697
Enrollment ID: O20180327000095 |
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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. Lisa Janicki 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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Lisa Janicki, MS, CCC-A
163 Waterman St,
Providence, RI 02906-3109
Ph: () - | Lisa Janicki, MS, CCC-A
999 S Broadway,
East Providence, RI 02914-4701
Ph: (401) 431-5100 |
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