Mrs Jordan Elizabeth Simmons, AUD is a medicare enrolled "Audiologist" provider in West Bloomfield, Michigan. Her current practice location is
6777 West Maple Rd., West Bloomfield, Michigan. You can reach out to her office (for appointments etc.) via phone at
(248) 661-7359.
Mrs Jordan Elizabeth Simmons is licensed to practice in Michigan (license number 1601000521) 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 1023265303.
Healthcare Provider's Profile
| Full Name | Mrs Jordan Elizabeth Simmons |
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| Gender | Female |
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| Speciality | Audiologist |
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| Location | 6777 West Maple Rd., West Bloomfield, Michigan |
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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: 1023265303
- Provider Enumeration Date: 08/19/2008
- Last Update Date: 08/06/2012
Medicare PECOS Information:
- PECOS PAC ID: 9335208420
- Enrollment ID: I20081104000509
Medical Identifiers
Medical identifiers for Mrs Jordan Elizabeth Simmons such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1023265303 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 231H00000X | Audiologist | 1601000521 (Michigan) | 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 Jordan Elizabeth Simmons allows following entities to bill medicare on her behalf.
| Provider Name | Henry Ford Health System |
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| Provider Type | Part B Supplier - Clinic/group Practice |
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| Provider Identifiers | NPI Number: 1699851618
PECOS PAC ID: 0547178311
Enrollment ID: O20031111000455 |
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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 Jordan Elizabeth Simmons 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 |
|---|
Mrs Jordan Elizabeth Simmons, AUD
6777 W Maple Rd,
West Bloomfield, MI 48322-3013
Ph: (810) 229-4111 | Mrs Jordan Elizabeth Simmons, AUD
6777 West Maple Rd.,
West Bloomfield, MI 48322
Ph: (248) 661-7359 |
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