Payton Hunter Lack, AUD - Medicare Audiologist in Greensboro, GA

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Payton Hunter Lack, AUD is a medicare enrolled "Audiologist" provider in Greensboro, Georgia. His current practice location is 1051 Parkside Cmns Ste 103, Greensboro, Georgia. You can reach out to his office (for appointments etc.) via phone at (706) 623-4425.

Payton Hunter Lack is licensed to practice in Georgia (license number AUD004368) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1043901390.

Contact Information

Payton Hunter Lack, AUD
1051 Parkside Cmns Ste 103,
Greensboro, GA 30642-4517
(706) 623-4425
Not Available

Map and Direction




Healthcare Provider's Profile

Full NamePayton Hunter Lack
GenderMale
SpecialityAudiologist
Location1051 Parkside Cmns Ste 103, Greensboro, Georgia
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1043901390
  • Provider Enumeration Date: 05/17/2023
  • Last Update Date: 05/17/2023
  Medicare PECOS Information:
  • PECOS PAC ID: 0446602908
  • Enrollment ID: I20240119002536

Medical Identifiers

Medical identifiers for Payton Hunter Lack such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1043901390NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
231H00000XAudiologist AUD004368 (Georgia)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. Payton Hunter Lack allows following entities to bill medicare on his behalf.
Provider NamePremier Audiology Associates, Llc
Provider TypePart B Supplier - Clinic/group Practice
Provider IdentifiersNPI Number: 1245994904
PECOS PAC ID: 4789075565
Enrollment ID: O20220105001925

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. Payton Hunter Lack 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 AddressPractice Location Address
Payton Hunter Lack, AUD
1051 Parkside Cmns Ste 103,
Greensboro, GA 30642-4517

Ph: (706) 623-4425		Payton Hunter Lack, AUD
1051 Parkside Cmns Ste 103,
Greensboro, GA 30642-4517

Ph: (706) 623-4425

Reviews and Comments


Audiologist in Greensboro, GA


Audiologist
Medicare: Not Enrolled in Medicare
Practice Location: 1041 Founders Row, Suite B, Greensboro, GA 30642
Phone: 706-453-1688    Fax: 706-453-2884
Atlanta Hearing Associates Of Lake Oconee, Llc
Audiologist
Medicare: Not Enrolled in Medicare
Practice Location: 1051 Parkside Cmns, Suite 103, Greensboro, GA 30642
Phone: 706-454-0578    Fax: 706-454-0575

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.