South Sound Audioloyg Llc is a medicare enrolled "Audiologist" provider in Lacey, Washington. Their current practice location is
4444 Lacey Blvd Se, Lacey, Washington. You can reach out to their office (for appointments etc.) via phone at
(360) 528-2022.
South Sound Audioloyg Llc is licensed to practice in Washington (license number LD00001726) and it also participates in the medicare program. South Sound Audioloyg Llc
is enrolled with medicare and should accept medicare assignments and since they are enrolled in medicare, they may order Medicare Part D Prescription drugs, if eligible. The facility's NPI Number is 1699874347.
Healthcare Provider's Profile
| Full Name | South Sound Audioloyg Llc |
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| Type | Facility |
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| Speciality | Audiologist |
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| Location | 4444 Lacey Blvd Se, Lacey, Washington |
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| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
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NPI Data:
- NPI Number: 1699874347
- Provider Enumeration Date: 09/21/2006
- Last Update Date: 11/09/2017
Medicare PECOS Information:
- PECOS PAC ID: 2668579608
- Enrollment ID: O20070525000343
Medical Identifiers
Medical identifiers for South Sound Audioloyg Llc such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1699874347 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 231H00000X | Audiologist | LD00001726 (Washington) | Primary |
Medicare Reassignments
Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works.
South Sound Audioloyg Llc acts as a billing entity for following providers:
| Provider Name | Rebecca A Mooney |
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| Provider Type | Practitioner - Qualified Audiologist |
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| Provider Identifiers | NPI Number: 1306985221
PECOS PAC ID: 7911927116
Enrollment ID: I20051202000370 |
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| Provider Name | Julie K Vanausdal |
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| Provider Type | Practitioner - Qualified Audiologist |
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| Provider Identifiers | NPI Number: 1003032772
PECOS PAC ID: 8921105990
Enrollment ID: I20070525000534 |
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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. South Sound Audioloyg Llc 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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South Sound Audioloyg Llc
4444 Lacey Blvd Se, A,
Lacey, WA 98503-5730
Ph: (360) 528-2022 | South Sound Audioloyg Llc
4444 Lacey Blvd Se,
Lacey, WA 98503-5730
Ph: (360) 528-2022 |
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