Michelle Ashley Kiedaisch, AUD is a medicare enrolled "Audiologist" provider in Dix Hills, New York. Her current practice location is
2 Arista Dr, Dix Hills, New York. You can reach out to her office (for appointments etc.) via phone at
(631) 335-7151.
Michelle Ashley Kiedaisch is licensed to practice in * (Not Available) (license number ) 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 1285339671.
Healthcare Provider's Profile
Full Name | Michelle Ashley Kiedaisch |
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Gender | Female |
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Speciality | Audiologist |
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Location | 2 Arista Dr, Dix Hills, New York |
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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: 1285339671
- Provider Enumeration Date: 04/04/2023
- Last Update Date: 04/04/2023
Medicare PECOS Information:
- PECOS PAC ID: 2860852142
- Enrollment ID: I20230718003223
Medical Identifiers
Medical identifiers for Michelle Ashley Kiedaisch such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1285339671 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
231H00000X | Audiologist | (* (Not Available)) | 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. Michelle Ashley Kiedaisch allows following entities to bill medicare on her behalf.
Provider Name | Regional Otolaryngology Head And Neck Associates, Llc |
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Provider Type | Part B Supplier - Clinic/group Practice |
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Provider Identifiers | NPI Number: 1679528426 PECOS PAC ID: 9739162637 Enrollment ID: O20040611000013 |
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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. Michelle Ashley Kiedaisch 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 |
Michelle Ashley Kiedaisch, AUD 2 Arista Dr, Dix Hills, NY 11746-4905 Ph: () - | Michelle Ashley Kiedaisch, AUD 2 Arista Dr, Dix Hills, NY 11746-4905 Ph: (631) 335-7151 |
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