Mrs Kerry Johanna Farmer, MS CCC A is a medicare enrolled "Audiologist" provider in Warrenton, Oregon. Her current practice location is
429 Se Marlin Ave, Unit A, Warrenton, Oregon. You can reach out to her office (for appointments etc.) via phone at
(503) 861-3235.
Mrs Kerry Johanna Farmer is licensed to practice in Oregon (license number 30787) 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 1881792646.
Healthcare Provider's Profile
| Full Name | Mrs Kerry Johanna Farmer |
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| Gender | Female |
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| Speciality | Audiologist |
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| Location | 429 Se Marlin Ave, Warrenton, Oregon |
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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: 1881792646
- Provider Enumeration Date: 09/20/2006
- Last Update Date: 08/04/2022
Medicare PECOS Information:
- PECOS PAC ID: 9739123290
- Enrollment ID: I20131126001687
Medical Identifiers
Medical identifiers for Mrs Kerry Johanna Farmer such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1881792646 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 231H00000X | Audiologist | LD60254321 (Washington) | Secondary |
| 231H00000X | Audiologist | 30787 (Oregon) | Primary |
| 231H00000X | Audiologist | AU2212 (California) | Secondary |
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 Kerry Johanna Farmer allows following entities to bill medicare on her behalf.
| Provider Name | Bayside Audiology Llc |
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| Provider Type | Part B Supplier - Clinic/group Practice |
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| Provider Identifiers | NPI Number: 1639806003
PECOS PAC ID: 4981080496
Enrollment ID: O20221006003383 |
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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 Kerry Johanna Farmer 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 Kerry Johanna Farmer, MS CCC A
429 Se Marlin Ave, Unit A,
Warrenton, OR 97146
Ph: (503) 861-3235 | Mrs Kerry Johanna Farmer, MS CCC A
429 Se Marlin Ave, Unit A,
Warrenton, OR 97146
Ph: (503) 861-3235 |
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