Nicole D Samuelson, AUD is a medicare enrolled "Audiologist" provider in Salina, Kansas. She graduated from medical school in 2008 and has 16 years of diverse experience with area of expertise as Qualified Audiologist. She is a member of the group practice Inspire Ent And Pulmonology Pa and her current practice location is
520 S Santa Fe Ave, Suite 200, Salina, Kansas. You can reach out to her office (for appointments etc.) via phone at
(785) 823-7225.
Nicole D Samuelson is licensed to practice in Kansas (license number 2159) 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 1124275995.
Healthcare Provider's Profile
| Full Name | Nicole D Samuelson |
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| Gender | Female |
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| Speciality | Qualified Audiologist |
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| Experience | 16 Years |
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| Location | 520 S Santa Fe Ave, Salina, Kansas |
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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:
- Nicole D Samuelson graduated from medical school in 2008
NPI Data:
- NPI Number: 1124275995
- Provider Enumeration Date: 08/25/2008
- Last Update Date: 08/25/2008
Medicare PECOS Information:
- PECOS PAC ID: 4284776089
- Enrollment ID: I20100115000809
Medical Identifiers
Medical identifiers for Nicole D Samuelson such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1124275995 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 231H00000X | Audiologist | 2159 (Kansas) | Primary |
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
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| Inspire Ent And Pulmonology Pa | 2466405568 | 12 |
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. Nicole D Samuelson allows following entities to bill medicare on her behalf.
| Provider Name | Inspire Ent And Pulmonology Pa |
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| Provider Type | Part B Supplier - Clinic/group Practice |
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| Provider Identifiers | NPI Number: 1891777603
PECOS PAC ID: 2466405568
Enrollment ID: O20050301000767 |
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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. Nicole D Samuelson 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 |
|---|
Nicole D Samuelson, AUD
757 Meadowbrook Rd,
Salina, KS 67401-5257
Ph: (785) 201-2568 | Nicole D Samuelson, AUD
520 S Santa Fe Ave, Suite 200,
Salina, KS 67401-4190
Ph: (785) 823-7225 |
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