Speech & Audiology Clinic is a medicare enrolled "Clinic/center - Hearing And Speech" provider in Greeley, Colorado. Their current practice location is
501 20th St, 55, Greeley, Colorado. You can reach out to their office (for appointments etc.) via phone at
(970) 351-2012.
Speech & Audiology Clinic is licensed to practice in * (Not Available) (license number ) and it also participates in the medicare program. Speech & Audiology Clinic
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 1578551024.
Healthcare Provider's Profile
| Full Name | Speech & Audiology Clinic |
|---|
| Type | Facility |
|---|
| Speciality | Clinic/center - Hearing And Speech |
|---|
| Location | 501 20th St, Greeley, Colorado |
|---|
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
|---|
NPI Data:
- NPI Number: 1578551024
- Provider Enumeration Date: 10/10/2005
- Last Update Date: 11/15/2022
Medicare PECOS Information:
- PECOS PAC ID: 8628062395
- Enrollment ID: O20040414000673
Medical Identifiers
Medical identifiers for Speech & Audiology Clinic such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1578551024 | NPI | - | NPPES |
| 04439097 | Medicaid | CO | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 231H00000X | Audiologist | (* (Not Available)) | Secondary |
| 235Z00000X | Speech-language Pathologist | (* (Not Available)) | Secondary |
| 237600000X | Audiologist-hearing Aid Fitter | (* (Not Available)) | Secondary |
| 237700000X | Hearing Instrument Specialist | (* (Not Available)) | Secondary |
| 261QH0700X | Clinic/center - Hearing And Speech | (* (Not Available)) | Primary |
Medicare Reassignments
Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works.
Speech & Audiology Clinic acts as a billing entity for following providers:
| Provider Name | Tina M Stoody |
|---|
| Provider Type | Practitioner - Qualified Audiologist |
|---|
| Provider Identifiers | NPI Number: 1790749745
PECOS PAC ID: 0446323547
Enrollment ID: I20080723000350 |
|---|
| Provider Name | Diane L Erdbruegger |
|---|
| Provider Type | Practitioner - Qualified Audiologist |
|---|
| Provider Identifiers | NPI Number: 1639164049
PECOS PAC ID: 6709045917
Enrollment ID: I20120307000784 |
|---|
| Provider Name | Erinn M Jimmerson |
|---|
| Provider Type | Practitioner - Qualified Audiologist |
|---|
| Provider Identifiers | NPI Number: 1669510996
PECOS PAC ID: 4981857729
Enrollment ID: I20130104000063 |
|---|
| Provider Name | Jennifer E Weber |
|---|
| Provider Type | Practitioner - Qualified Audiologist |
|---|
| Provider Identifiers | NPI Number: 1225023245
PECOS PAC ID: 5092033654
Enrollment ID: I20150410000077 |
|---|
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. Speech & Audiology Clinic 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 |
|---|
Speech & Audiology Clinic
501 20th St, 55,
Greeley, CO 80639-0001
Ph: (970) 351-2012 | Speech & Audiology Clinic
501 20th St, 55,
Greeley, CO 80639-0001
Ph: (970) 351-2012 |
Reviews and Comments