Samantha Bloodgood, AUD in Park Ridge, IL - Medicare Audiologist Provider

Samantha Bloodgood, AUD is a medicare enrolled "Audiologist" provider in Park Ridge, Illinois. Her current practice location is 2604 Dempster St Ste 501, Park Ridge, Illinois. You can reach out to her office (for appointments etc.) via phone at (847) 674-5585.

Samantha Bloodgood is licensed to practice in Illinois (license number 147.001985) 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 1194593079.

Contact Information

	Samantha Bloodgood, AUD
	2604 Dempster St Ste 501, Park Ridge, IL 60068-8429
	(847) 674-5585
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Samantha Bloodgood
Gender	Female
Speciality	Audiologist
Location	2604 Dempster St Ste 501, Park Ridge, Illinois
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1194593079
Provider Enumeration Date: 12/19/2023
Last Update Date: 05/08/2024

Medicare PECOS Information:

PECOS PAC ID: 5698119485
Enrollment ID: I20240220003977

Medical Identifiers

Medical identifiers for Samantha Bloodgood such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1194593079	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
231H00000X	Audiologist	147.001985 (Illinois)	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. Samantha Bloodgood allows following entities to bill medicare on her behalf.

Provider Name	Ear Nose & Throat Specialists Of Illinois Ltd
Provider Type	Part B Supplier - Clinic/group Practice
Provider Identifiers	NPI Number: 1750340949 PECOS PAC ID: 7911970389 Enrollment ID: O20040813001041

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. Samantha Bloodgood 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
Samantha Bloodgood, AUD 2246 W Lawrence Ave Unit 402, Chicago, IL 60625-7550 Ph: () -	Samantha Bloodgood, AUD 2604 Dempster St Ste 501, Park Ridge, IL 60068-8429 Ph: (847) 674-5585

Reviews and Comments

Audiologist in Park Ridge, IL

Hearing Professionals Of Illinois Audiologist Medicare: Not Enrolled in Medicare Practice Location: 2604 Dempster St Ste 501, Park Ridge, IL 60068 Phone: 847-674-5585
Specialized Audiology Services Pc Audiologist Medicare: Not Enrolled in Medicare Practice Location: 350 S Northwest Hwy Ste 300, Park Ridge, IL 60068 Phone: 773-543-8121 Fax: 773-321-0193
Lauren Olivia Kelly, AUD Audiologist Medicare: Accepting Medicare Assignments Practice Location: 2604 Dempster St Ste 501, Park Ridge, IL 60068 Phone: 847-674-5585
Dr. Lauren E Moss, AUD Audiologist Medicare: Accepting Medicare Assignments Practice Location: 2604 Dempster St Ste 501, Park Ridge, IL 60068 Phone: 847-674-5585
Veronica Elizabeth Lane, AUD Audiologist Medicare: Not Enrolled in Medicare Practice Location: 1875 Dempster St Ste 301, Park Ridge, IL 60068 Phone: 847-685-1000
Mrs. Sharon Lynn Lichtman, M.A. Audiologist Medicare: Not Enrolled in Medicare Practice Location: 1875 Dempster St, Suite 625, Park Ridge, IL 60068 Phone: 847-518-1200 Fax: 847-518-1209

Samantha Bloodgood, AUD - Medicare Audiologist in Park Ridge, IL