Diamond G Prus, AUD | |
500 Washington Ave, Chestertown, MD 21620-1239 | |
(410) 778-5170 | |
Not Available |
Full Name | Diamond G Prus |
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Gender | Female |
Speciality | Audiologist |
Location | 500 Washington Ave, Chestertown, Maryland |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1558088526 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
231H00000X | Audiologist | AT006858 (Pennsylvania) | Secondary |
231H00000X | Audiologist | 01617 (Maryland) | Primary |
Provider Name | Hearing Center Of Chestertown Llc |
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Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1710519541 PECOS PAC ID: 1951738863 Enrollment ID: O20200304002799 |
Mailing Address | Practice Location Address |
---|---|
Diamond G Prus, AUD 624 King James Ct, Bear, DE 19701-4730 Ph: (847) 571-1923 | Diamond G Prus, AUD 500 Washington Ave, Chestertown, MD 21620-1239 Ph: (410) 778-5170 |
Michelle Hoon-starr, AU.D. Audiologist Medicare: Medicare Enrolled Practice Location: 500 Washington Ave, Chestertown, MD 21620 Phone: 410-778-5170 Fax: 410-778-6195 | |
Mrs. Barbara J. Mclendon, AU.D. Audiologist Medicare: Accepting Medicare Assignments Practice Location: 500 Washington Ave, Chestertown, MD 21620 Phone: 410-778-5170 Fax: 410-778-6195 | |
Stacie L Glover, M.S., CCC-A Audiologist Medicare: Accepting Medicare Assignments Practice Location: 818 High St, Chestertown, MD 21620 Phone: 410-778-5170 Fax: 410-778-6195 |