Ms Susan Tracey Peckins, MA, CCC-A is a medicare enrolled "Audiologist" provider in Kings Park, New York. Her current practice location is
47 Cedar St, Kings Park, New York. You can reach out to her office (for appointments etc.) via phone at
(631) 269-3426.
Ms Susan Tracey Peckins is licensed to practice in New York (license number 989-1) 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 1467624312.
Healthcare Provider's Profile
| Full Name | Ms Susan Tracey Peckins |
|---|
| Gender | Female |
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| Speciality | Audiologist |
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| Location | 47 Cedar St, Kings Park, New York |
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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: 1467624312
- Provider Enumeration Date: 04/01/2008
- Last Update Date: 04/01/2008
Medicare PECOS Information:
- PECOS PAC ID: 0143512574
- Enrollment ID: I20160706000542
Medical Identifiers
Medical identifiers for Ms Susan Tracey Peckins such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1467624312 | NPI | - | NPPES |
| 989-1 | Other | NY | AUDIOLOGY LICENCE |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 231H00000X | Audiologist | 989-1 (New York) | Primary |
| 237600000X | Audiologist-hearing Aid Fitter | 14000005288 (New York) | 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. Ms Susan Tracey Peckins allows following entities to bill medicare on her behalf.
| Provider Name | North Shore - Lij Medical Pc |
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| Provider Type | Part B Supplier - Clinic/group Practice |
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| Provider Identifiers | NPI Number: 1053688572
PECOS PAC ID: 3375701568
Enrollment ID: O20120220000262 |
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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. Ms Susan Tracey Peckins 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 |
|---|
Ms Susan Tracey Peckins, MA, CCC-A
430 Lakeville Rd,
New Hyde Park, NY 11042-1121
Ph: (718) 470-8910 | Ms Susan Tracey Peckins, MA, CCC-A
47 Cedar St,
Kings Park, NY 11754-2509
Ph: (631) 269-3426 |
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