Stephanie L Tittle, AUD is a medicare enrolled "Audiologist" provider in Osage Beach, Missouri. She graduated from medical school in 2021 and has 3 years of diverse experience with area of expertise as Qualified Audiologist. She is a member of the group practice Lake Regional Medical Management Inc and her current practice location is
1029 Nichols Rd Ste 301, Osage Beach, Missouri. You can reach out to her office (for appointments etc.) via phone at
(573) 302-2864.
Stephanie L Tittle is licensed to practice in Missouri (license number 2021020503) and she also participates in the medicare program. She
may accept medicare assignments (which means she may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance) and her NPI Number is 1306415971.
Healthcare Provider's Profile
| Full Name | Stephanie L Tittle |
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| Gender | Female |
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| Speciality | Qualified Audiologist |
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| Experience | 3 Years |
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| Location | 1029 Nichols Rd Ste 301, Osage Beach, Missouri |
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| Accepts Medicare Assignments | May be. She may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Stephanie L Tittle graduated from medical school in 2021
NPI Data:
- NPI Number: 1306415971
- Provider Enumeration Date: 06/18/2021
- Last Update Date: 06/18/2021
Medicare PECOS Information:
- PECOS PAC ID: 7618379645
- Enrollment ID: I20210713001440
Medical Identifiers
Medical identifiers for Stephanie L Tittle such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1306415971 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 231H00000X | Audiologist | 2021020503 (Missouri) | Primary |
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
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| Lake Regional Medical Management Inc | 3577467323 | 46 |
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. Stephanie L Tittle allows following entities to bill medicare on her behalf.
| Provider Name | Lake Regional Medical Management Inc |
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| Provider Type | Part B Supplier - Clinic/group Practice |
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| Provider Identifiers | NPI Number: 1639134158
PECOS PAC ID: 3577467323
Enrollment ID: O20031122000076 |
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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. Stephanie L Tittle 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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Stephanie L Tittle, AUD
54 Hospital Dr,
Osage Beach, MO 65065-3050
Ph: (573) 348-8399 | Stephanie L Tittle, AUD
1029 Nichols Rd Ste 301,
Osage Beach, MO 65065-3008
Ph: (573) 302-2864 |
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