Sharon Melroy Kippenbrock, MS, CCC-A is a medicare enrolled "Audiologist" provider in Carbondale, Illinois. She graduated from medical school in 1991 and has 33 years of diverse experience with area of expertise as Qualified Audiologist. She is a member of the group practice Southern Illinois Medical Services Nfp and her current practice location is
2601 W Main St, Carbondale, Illinois. You can reach out to her office (for appointments etc.) via phone at
(618) 549-5361.
Sharon Melroy Kippenbrock is licensed to practice in Illinois (license number 147000590) 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 1649431396.
Healthcare Provider's Profile
| Full Name | Sharon Melroy Kippenbrock |
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| Gender | Female |
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| Speciality | Qualified Audiologist |
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| Experience | 33 Years |
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| Location | 2601 W Main St, Carbondale, Illinois |
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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:
- Sharon Melroy Kippenbrock graduated from medical school in 1991
NPI Data:
- NPI Number: 1649431396
- Provider Enumeration Date: 06/24/2008
- Last Update Date: 12/28/2020
Medicare PECOS Information:
- PECOS PAC ID: 2961650569
- Enrollment ID: I20120924000028
Medical Identifiers
Medical identifiers for Sharon Melroy Kippenbrock such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1649431396 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 231H00000X | Audiologist | 147000590 (Illinois) | Primary |
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
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| Southern Illinois Medical Services Nfp | 3678677390 | 252 |
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. Sharon Melroy Kippenbrock allows following entities to bill medicare on her behalf.
| Provider Name | Southern Illinois Medical Services Nfp |
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| Provider Type | Part B Supplier - Clinic/group Practice |
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| Provider Identifiers | NPI Number: 1770656837
PECOS PAC ID: 3678677390
Enrollment ID: O20070404000595 |
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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. Sharon Melroy Kippenbrock 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 |
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Sharon Melroy Kippenbrock, MS, CCC-A
Po Box 3988,
Carbondale, IL 62902-3988
Ph: (618) 457-5200 | Sharon Melroy Kippenbrock, MS, CCC-A
2601 W Main St,
Carbondale, IL 62901-1031
Ph: (618) 549-5361 |
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