Andrea T Roe, AUD | |
834 N Seminary St, Galesburg, IL 61401-2852 | |
(309) 343-1632 | |
(309) 343-1785 |
Full Name | Andrea T Roe |
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Gender | Female |
Speciality | Audiologist |
Location | 834 N Seminary St, Galesburg, Illinois |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1740361484 | NPI | - | NPPES |
1740361484 | Medicaid | IA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
231H00000X | Audiologist | 00597 (Iowa) | Secondary |
237600000X | Audiologist-hearing Aid Fitter | 00890 (Iowa) | Secondary |
231H00000X | Audiologist | 147.001190 (Illinois) | Primary |
Provider Name | The Curators Of The University Of Missouri |
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Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1235126921 PECOS PAC ID: 4486759560 Enrollment ID: O20070418000290 |
Mailing Address | Practice Location Address |
---|---|
Andrea T Roe, AUD 834 N Seminary St, Suite 405, Galesburg, IL 61401-2852 Ph: (309) 343-1632 | Andrea T Roe, AUD 834 N Seminary St, Galesburg, IL 61401-2852 Ph: (309) 343-1632 |
Mrs. Mary Lynn Calderone, M.A.C.C.C.A. Audiologist Medicare: Not Enrolled in Medicare Practice Location: 360 E Losey St, Galesburg, IL 61401 Phone: 309-343-4448 | |
Amanda B Silberer, Audiologist Medicare: Not Enrolled in Medicare Practice Location: 3315 N Seminary St, Galesburg, IL 61401 Phone: 309-344-1000 Fax: 309-344-1054 | |
The Hearing Clinic Audiologist Medicare: Not Enrolled in Medicare Practice Location: 360 E Losey St, Galesburg, IL 61401 Phone: 309-343-4448 Fax: 309-343-2107 | |
Angi Martinprudent, AUDIOLOGIST Audiologist Medicare: Not Enrolled in Medicare Practice Location: 975 N Henderson St, Suite 3, Galesburg, IL 61401 Phone: 309-342-0458 Fax: 309-342-0458 |