Mr Kevin Amdahl, MA in Saint Cloud, MN - Medicare Qualified Audiologist Provider

Mr Kevin Amdahl, MA is a medicare enrolled "Audiologist" provider in Saint Cloud, Minnesota. He graduated from medical school in 1994 and has 30 years of diverse experience with area of expertise as Qualified Audiologist. He is a member of the group practice Jka5 Enterprises and his current practice location is 2848 2nd St S Ste 185, Saint Cloud, Minnesota. You can reach out to his office (for appointments etc.) via phone at (320) 252-0094.

Mr Kevin Amdahl is licensed to practice in Wisconsin (license number 748-156) and he also participates in the medicare program. He accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1972624286.

Contact Information

	Mr Kevin Amdahl, MA
	2848 2nd St S Ste 185, Saint Cloud, MN 56301-3708
	(320) 252-0094
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Mr Kevin Amdahl
Gender	Male
Speciality	Qualified Audiologist
Experience	30 Years
Location	2848 2nd St S Ste 185, Saint Cloud, Minnesota
Accepts Medicare Assignments	Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Mr Kevin Amdahl graduated from medical school in 1994

NPI Data:

NPI Number: 1972624286
Provider Enumeration Date: 04/03/2007
Last Update Date: 09/16/2021

Medicare PECOS Information:

PECOS PAC ID: 8123123890
Enrollment ID: I20070425000357

Medical Identifiers

Medical identifiers for Mr Kevin Amdahl such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1972624286	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
231H00000X	Audiologist	748-156 (Wisconsin)	Primary
237600000X	Audiologist-hearing Aid Fitter	6055 (Minnesota)	Secondary

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Jka5 Enterprises	3779800586	3

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. Mr Kevin Amdahl allows following entities to bill medicare on his behalf.

Provider Name	Jka5 Enterprises
Provider Type	Part B Supplier - Clinic/group Practice
Provider Identifiers	NPI Number: 1568869188 PECOS PAC ID: 3779800586 Enrollment ID: O20150316000889

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. Mr Kevin Amdahl 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
Mr Kevin Amdahl, MA 2848 2nd Street South, 185, Saint Cloud, MN 56301-4810 Ph: (320) 252-0094	Mr Kevin Amdahl, MA 2848 2nd St S Ste 185, Saint Cloud, MN 56301-3708 Ph: (320) 252-0094

Reviews and Comments

Audiologist in Saint Cloud, MN

Sara Lynn Doelger Konrad, MA Audiologist Medicare: Not Enrolled in Medicare Practice Location: 606 25th Ave S, Suite 107, Saint Cloud, MN 56301 Phone: 320-252-0094 Fax: 320-252-0365
Mr. Nickey S Martino, M.S. CCC/A AUDIOLOGY Audiologist Medicare: Not Enrolled in Medicare Practice Location: 4801 Veterans Dr, Saint Cloud, MN 56303 Phone: 320-252-1670
Megan Lappin, Audiologist Medicare: Not Enrolled in Medicare Practice Location: 4801 Veterans Dr, Building 29 Audiology, Saint Cloud, MN 56303 Phone: 320-252-1670
Samantha Rae Reiter, AU.D. Audiologist Medicare: Not Enrolled in Medicare Practice Location: 4801 Veterans Dr, Saint Cloud, MN 56303 Phone: 320-252-1670
Ms. Carly Christine Busch, AU.D. Audiologist Medicare: Not Enrolled in Medicare Practice Location: 4801 Veterans Dr, Saint Cloud, MN 56303 Phone: 320-252-1670
Alan R. Sias, AUD Audiologist Medicare: Not Enrolled in Medicare Practice Location: 4801 Veterans Dr, Va Medical Center, Saint Cloud, MN 56303 Phone: 320-255-6370 Fax: 320-255-6434
Dr. Sandy Lynn Peck, AU.D. Audiologist Medicare: Not Enrolled in Medicare Practice Location: 1011 10 1/2 Ave S, Saint Cloud, MN 56301 Phone: 320-654-8664 Fax: 320-230-7758

Mr Kevin Amdahl, MA - Medicare Audiologist in Saint Cloud, MN