Amdahl Hearing | |
411 Stageline Rd # 290, Hudson, WI 54016-7848 | |
(715) 531-6710 | |
Not Available |
Full Name | Amdahl Hearing |
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Type | Facility |
Speciality | Audiologist |
Location | 411 Stageline Rd # 290, Hudson, Wisconsin |
Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1417484239 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
231H00000X | Audiologist | (* (Not Available)) | Primary |
Provider Name | Raena S Deperry |
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Provider Type | Practitioner - Qualified Audiologist |
Provider Identifiers | NPI Number: 1114018447 PECOS PAC ID: 5092896233 Enrollment ID: I20080114000841 |
Provider Name | Kari Nicole Hancher |
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Provider Type | Practitioner - Qualified Audiologist |
Provider Identifiers | NPI Number: 1932766441 PECOS PAC ID: 6103157383 Enrollment ID: I20191021000793 |
Provider Name | Daniel Dibenedetto |
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Provider Type | Practitioner - Qualified Audiologist |
Provider Identifiers | NPI Number: 1326778416 PECOS PAC ID: 3870973027 Enrollment ID: I20220705003020 |
Mailing Address | Practice Location Address |
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Amdahl Hearing 2848 2nd St S, Suite 185, Saint Cloud, MN 56301-4594 Ph: (320) 252-0094 | Amdahl Hearing 411 Stageline Rd # 290, Hudson, WI 54016-7848 Ph: (715) 531-6710 |
Dr. Raena Sue Deperry, AUD Audiologist Medicare: Accepting Medicare Assignments Practice Location: 401 Stageline Rd, Ste. 6, Hudson, WI 54016 Phone: 715-531-6710 Fax: 715-531-6711 | |
Mrs. Deirdre Ann Worrell, MS Audiologist Medicare: Not Enrolled in Medicare Practice Location: 1516 North Ridge Dr, Hudson, WI 54016 Phone: 715-386-1760 | |
Mrs. Michele Anne Drevnick, M.S., F-AAA Audiologist Medicare: Not Enrolled in Medicare Practice Location: 401 Stageline Rd, Suite 6, Hudson, WI 54016 Phone: 715-531-6710 Fax: 715-531-6711 | |
Hudson Hearing & Speech Clinic Inc Audiologist Medicare: Not Enrolled in Medicare Practice Location: 401 Stageline Rd, Suite 6, Hudson, WI 54016 Phone: 715-531-6710 Fax: 715-531-6711 |