Blake B Wimmer, AUD | |
500 Old Newport Blvd Ste 101, Newport Beach, CA 92663-4234 | |
(949) 642-7925 | |
(949) 642-2950 |
Full Name | Blake B Wimmer |
---|---|
Gender | Male |
Speciality | Audiologist |
Location | 500 Old Newport Blvd Ste 101, Newport Beach, California |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1164208955 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
231H00000X | Audiologist | (* (Not Available)) | Primary |
Provider Name | Pacific Ent Medical Group, Inc. |
---|---|
Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1336249135 PECOS PAC ID: 1759280274 Enrollment ID: O20040105000271 |
Provider Name | Newport Mesa Audiology Inc |
---|---|
Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1144385998 PECOS PAC ID: 7911066725 Enrollment ID: O20081110000080 |
Mailing Address | Practice Location Address |
---|---|
Blake B Wimmer, AUD 500 Old Newport Blvd Ste 101, Newport Beach, CA 92663-4234 Ph: (949) 642-7925 | Blake B Wimmer, AUD 500 Old Newport Blvd Ste 101, Newport Beach, CA 92663-4234 Ph: (949) 642-7925 |
Howard T Mango, Audiologist Medicare: Accepting Medicare Assignments Practice Location: 500 Old Newport Blvd, Ste 101, Newport Beach, CA 92663 Phone: 949-642-7935 Fax: 949-642-2950 | |
Katherine Elizabeth Slezewick, AUD Audiologist Medicare: Not Enrolled in Medicare Practice Location: 500 Old Newport Blvd Ste 101, Newport Beach, CA 92663 Phone: 949-642-7935 Fax: 949-642-2950 | |
Monica Paige Muncy, AUD Audiologist Medicare: Not Enrolled in Medicare Practice Location: 500 Old Newport Blvd Ste 101, Newport Beach, CA 92663 Phone: 949-642-7935 Fax: 949-642-2950 | |
Hannah C Williams, AUD Audiologist Medicare: Not Enrolled in Medicare Practice Location: 500 Old Newport Blvd, Suite 101, Newport Beach, CA 92663 Phone: 949-642-7935 Fax: 949-642-2950 | |
Christine Mai-vy Nguyen, AUD Audiologist Medicare: Not Enrolled in Medicare Practice Location: 500 Old Newport Blvd Ste 101, Newport Beach, CA 92663 Phone: 949-642-7935 Fax: 949-642-2950 | |
Rolane Tweenie T. Tacbas Diya, AU.D. Audiologist Medicare: Not Enrolled in Medicare Practice Location: 500 Old Newport Blvd Ste 101, Newport Beach, CA 92663 Phone: 949-642-7935 |