Tommi Michelle Gray Stanley, MS CCC-A is a medicare enrolled "Audiologist" provider in North Myrtle Beach, South Carolina. Her current practice location is
1016 2nd Ave N Ste 102, North Myrtle Beach, South Carolina. You can reach out to her office (for appointments etc.) via phone at
(843) 732-6090.
Tommi Michelle Gray Stanley is licensed to practice in South Carolina (license number 3410) 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 1639336332.
Healthcare Provider's Profile
| Full Name | Tommi Michelle Gray Stanley |
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| Gender | Female |
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| Speciality | Audiologist |
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| Location | 1016 2nd Ave N Ste 102, North Myrtle Beach, South Carolina |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
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NPI Data:
- NPI Number: 1639336332
- Provider Enumeration Date: 05/20/2008
- Last Update Date: 09/14/2023
Medicare PECOS Information:
- PECOS PAC ID: 8729261219
- Enrollment ID: I20110321000796
Medical Identifiers
Medical identifiers for Tommi Michelle Gray Stanley such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1639336332 | NPI | - | NPPES |
| SA1158 | Medicaid | SC | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 231H00000X | Audiologist | 3410 (South Carolina) | 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. Tommi Michelle Gray Stanley allows following entities to bill medicare on her behalf.
| Provider Name | Grand Strand Hearing |
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| Provider Type | Part B Supplier - Clinic/group Practice |
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| Provider Identifiers | NPI Number: 1790161669
PECOS PAC ID: 2365757937
Enrollment ID: O20150812007539 |
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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. Tommi Michelle Gray Stanley 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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Tommi Michelle Gray Stanley, MS CCC-A
1016 2nd Ave N Ste 102,
North Myrtle Beach, SC 29582-3287
Ph: (843) 732-6090 | Tommi Michelle Gray Stanley, MS CCC-A
1016 2nd Ave N Ste 102,
North Myrtle Beach, SC 29582-3287
Ph: (843) 732-6090 |
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