Tara Brink, is a medicare enrolled "Audiologist" provider in Alexandria, Minnesota. Her current practice location is
606 3rd Ave W, Alexandria, Minnesota. You can reach out to her office (for appointments etc.) via phone at
(320) 759-1764.
Tara Brink is licensed to practice in Minnesota (license number 9444) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1649630013.
Healthcare Provider's Profile
Full Name | Tara Brink |
---|
Gender | Female |
---|
Speciality | Audiologist |
---|
Location | 606 3rd Ave W, Alexandria, Minnesota |
---|
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1649630013
- Provider Enumeration Date: 02/29/2016
- Last Update Date: 02/29/2016
Medicare PECOS Information:
- PECOS PAC ID: 8527499797
- Enrollment ID: I20200504002683
Medical Identifiers
Medical identifiers for Tara Brink such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1649630013 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
231H00000X | Audiologist | 9444 (Minnesota) | Primary |
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. Tara Brink allows following entities to bill medicare on her behalf.
Provider Name | Lifestyle Hearing Corporation Usa Inc |
---|
Provider Type | Part B Supplier - Clinic/group Practice |
---|
Provider Identifiers | NPI Number: 1316338346 PECOS PAC ID: 6901106707 Enrollment ID: O20200504002537 |
---|
Provider Name | Audiology Distribution Llc |
---|
Provider Type | Part B Supplier - Clinic/group Practice |
---|
Provider Identifiers | NPI Number: 1164707998 PECOS PAC ID: 0840459103 Enrollment ID: O20241121002140 |
---|
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. Tara Brink 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 |
Tara Brink, 9800 45th Ave N Apt 301, Plymouth, MN 55442-2662 Ph: () - | Tara Brink, 606 3rd Ave W, Alexandria, MN 56308-1325 Ph: (320) 759-1764 |
Reviews and Comments