Mrs Sandi Greene Deford, MS is a medicare enrolled "Audiologist" provider in Canton, Illinois. She graduated from medical school in 1991 and has 33 years of diverse experience with area of expertise as Qualified Audiologist. Her current practice location is
175 S Main St, Canton, Illinois. You can reach out to her office (for appointments etc.) via phone at
(309) 647-0201.
Mrs Sandi Greene Deford is licensed to practice in Illinois (license number 147000582) and she also participates in the medicare program. She
accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1689704660.
Healthcare Provider's Profile
| Full Name | Mrs Sandi Greene Deford |
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| Gender | Female |
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| Speciality | Qualified Audiologist |
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| Experience | 33 Years |
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| Location | 175 S Main St, Canton, Illinois |
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| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Mrs Sandi Greene Deford graduated from medical school in 1991
NPI Data:
- NPI Number: 1689704660
- Provider Enumeration Date: 03/07/2007
- Last Update Date: 07/10/2019
Medicare PECOS Information:
- PECOS PAC ID: 2860410487
- Enrollment ID: I20051103000147
Medical Identifiers
Medical identifiers for Mrs Sandi Greene Deford such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1689704660 | NPI | - | NPPES |
| 203356810 | Other | | TAX ID |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 231H00000X | Audiologist | 147000582 (Illinois) | 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. Mrs Sandi Greene Deford allows following entities to bill medicare on her behalf.
| Provider Name | Spoon River Hearing Services Inc |
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| Provider Type | Part B Supplier - Clinic/group Practice |
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| Provider Identifiers | NPI Number: 1003030115
PECOS PAC ID: 2961420583
Enrollment ID: O20051102000834 |
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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. Mrs Sandi Greene Deford 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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Mrs Sandi Greene Deford, MS
175 S Main St,
Canton, IL 61520-2670
Ph: (309) 647-0201 | Mrs Sandi Greene Deford, MS
175 S Main St,
Canton, IL 61520-2670
Ph: (309) 647-0201 |
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