Michelle Booth, is a medicare enrolled "Audiologist" provider in Port Richey, Florida. Her current practice location is
11031 Us Highway 19, Port Richey, Florida. You can reach out to her office (for appointments etc.) via phone at
(201) 961-4094.
Michelle Booth is licensed to practice in Florida (license number AY2755) 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 1992580419.
Healthcare Provider's Profile
| Full Name | Michelle Booth |
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| Gender | Female |
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| Speciality | Audiologist |
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| Location | 11031 Us Highway 19, Port Richey, Florida |
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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: 1992580419
- Provider Enumeration Date: 08/31/2023
- Last Update Date: 08/31/2023
Medicare PECOS Information:
- PECOS PAC ID: 4385099324
- Enrollment ID: I20231011004113
Medical Identifiers
Medical identifiers for Michelle Booth such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1992580419 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 231H00000X | Audiologist | AY2755 (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. 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 Booth allows following entities to bill medicare on her behalf.
| Provider Name | West Coast Ear, Nose & Throat, Inc |
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| Provider Type | Part B Supplier - Clinic/group Practice |
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| Provider Identifiers | NPI Number: 1346229440
PECOS PAC ID: 0941260103
Enrollment ID: O20041013000380 |
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| Provider Name | Lifestyle Hearing Corporation Usa Inc |
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| Provider Type | Part B Supplier - Clinic/group Practice |
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| Provider Identifiers | NPI Number: 1316338346
PECOS PAC ID: 6901106707
Enrollment ID: O20200403001378 |
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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 Booth 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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Michelle Booth,
6148 Crane Dr,
Lakeland, FL 33809-6603
Ph: (201) 961-4094 | Michelle Booth,
11031 Us Highway 19,
Port Richey, FL 34668-2213
Ph: (201) 961-4094 |
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