Mrs Tori Ann Blomquist, MS, CCC-A is a medicare enrolled "Audiologist-hearing Aid Fitter" provider in Salem, Oregon. Her current practice location is
3857 Wolverine St Ne # 16c, Salem, Oregon. You can reach out to her office (for appointments etc.) via phone at
(503) 588-1039.
Mrs Tori Ann Blomquist is licensed to practice in Oregon (license number 21155) 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 1861758617.
Healthcare Provider's Profile
Full Name | Mrs Tori Ann Blomquist |
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Gender | Female |
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Speciality | Audiologist-hearing Aid Fitter |
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Location | 3857 Wolverine St Ne # 16c, Salem, Oregon |
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Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1861758617
- Provider Enumeration Date: 04/05/2012
- Last Update Date: 04/05/2012
Medicare PECOS Information:
- PECOS PAC ID: 4284897471
- Enrollment ID: I20221215001035
Medical Identifiers
Medical identifiers for Mrs Tori Ann Blomquist such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1861758617 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
231H00000X | Audiologist | 21155 (Oregon) | Secondary |
237600000X | Audiologist-hearing Aid Fitter | 21155 (Oregon) | 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 Tori Ann Blomquist allows following entities to bill medicare on her behalf.
Provider Name | Audiology Distribution Llc |
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Provider Type | Part B Supplier - Clinic/group Practice |
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Provider Identifiers | NPI Number: 1164707998 PECOS PAC ID: 0840459103 Enrollment ID: O20121116000401 |
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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 Tori Ann Blomquist 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 Tori Ann Blomquist, MS, CCC-A 3857 Wolverine St Ne # 16c, Salem, OR 97305-4270 Ph: (503) 588-1039 | Mrs Tori Ann Blomquist, MS, CCC-A 3857 Wolverine St Ne # 16c, Salem, OR 97305-4270 Ph: (503) 588-1039 |
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