Southside Hearing Center, Llc is a medicare enrolled "Audiologist" provider in Lakeville, New York. Their current practice location is
3513 Thomas Dr Ste 2, Lakeville, New York. You can reach out to their office (for appointments etc.) via phone at
(585) 243-7690.
Southside Hearing Center, Llc is licensed to practice in * (Not Available) (license number ) and it also participates in the medicare program. Southside Hearing Center, 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 1043304157.
Healthcare Provider's Profile
| Full Name | Southside Hearing Center, Llc |
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| Type | Facility |
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| Speciality | Audiologist |
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| Location | 3513 Thomas Dr Ste 2, Lakeville, New York |
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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: 1043304157
- Provider Enumeration Date: 10/03/2006
- Last Update Date: 05/30/2024
Medicare PECOS Information:
- PECOS PAC ID: 4486802469
- Enrollment ID: O20120917000485
Medical Identifiers
Medical identifiers for Southside Hearing Center, Llc such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1043304157 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 231H00000X | Audiologist | (* (Not Available)) | Primary |
| 332S00000X | Hearing Aid Equipment | 1451 (New York) | Secondary |
Medicare Reassignments
Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works.
Southside Hearing Center, Llc acts as a billing entity for following providers:
| Provider Name | Susan S Debruyne |
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| Provider Type | Practitioner - Qualified Audiologist |
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| Provider Identifiers | NPI Number: 1023010550
PECOS PAC ID: 7214008028
Enrollment ID: I20080623000469 |
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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. Southside Hearing Center, 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 |
|---|
Southside Hearing Center, Llc
3513 Thomas Dr Ste 2,
Lakeville, NY 14480-9759
Ph: (585) 243-7690 | Southside Hearing Center, Llc
3513 Thomas Dr Ste 2,
Lakeville, NY 14480-9759
Ph: (585) 243-7690 |
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