Christine D Wallace, AUD | |
172 2nd St S, Nampa, ID 83651-3708 | |
(208) 385-3620 | |
(208) 386-3621 |
Full Name | Christine D Wallace |
---|---|
Gender | Female |
Speciality | Qualified Audiologist |
Experience | 17 Years |
Location | 172 2nd St S, Nampa, Idaho |
Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1922244805 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
231H00000X | Audiologist | AUD-1246 (Idaho) | Secondary |
237600000X | Audiologist-hearing Aid Fitter | 21617 (Oregon) | Secondary |
231H00000X | Audiologist | AUD1246 (Idaho) | Primary |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
St Lukes Clinic-treasure Valley Llc | 4981878402 | 991 |
Provider Name | St Lukes Clinic-treasure Valley Llc |
---|---|
Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1326336058 PECOS PAC ID: 4981878402 Enrollment ID: O20111119000045 |
Mailing Address | Practice Location Address |
---|---|
Christine D Wallace, AUD Po Box 1100, Boise, ID 83701-1100 Ph: (208) 489-4690 | Christine D Wallace, AUD 172 2nd St S, Nampa, ID 83651-3708 Ph: (208) 385-3620 |
Fisher Mobile Audiology Audiologist Medicare: Not Enrolled in Medicare Practice Location: 1809 S Glasgow Ave, Nampa, ID 83686 Phone: 208-340-1482 | |
Treasure Valley Hearing Audiologist Medicare: Not Enrolled in Medicare Practice Location: 1463 Caldwell Blvd, Nampa, ID 83651 Phone: 208-377-0019 Fax: 208-377-0313 | |
Pamela Jeanne Barry, CCC-SLP, CCC-A Audiologist Medicare: Not Enrolled in Medicare Practice Location: 619 S Canyon St, Nampa School District, Nampa, ID 83686 Phone: 208-468-4600 | |
Jordan Patrick Bellucci, AUD Audiologist Medicare: Accepting Medicare Assignments Practice Location: 172 2nd St S, Nampa, ID 83651 Phone: 208-385-3260 | |
Dana Koltenuk Gladd, AU.D. Audiologist Medicare: Accepting Medicare Assignments Practice Location: 172 2nd St S, Nampa, ID 83651 Phone: 208-489-5950 | |
Larissa Mann, AU.D. Audiologist Medicare: Medicare Enrolled Practice Location: 172 2nd St S, Nampa, ID 83651 Phone: 208-489-5950 | |
Dr. Laurie C Stucki, AU.D. Audiologist Medicare: Accepting Medicare Assignments Practice Location: 172 2nd St S, Nampa, ID 83651 Phone: 208-385-3620 Fax: 208-385-3621 |