| Dr Nicole Diebag, AUD | |
|
100 N Mario Capecchi Dr Ste 4400, Salt Lake City, UT 84113-1103 | |
| (801) 662-3277 | |
| Not Available |
| Full Name | Dr Nicole Diebag |
|---|---|
| Gender | Female |
| Speciality | Audiologist |
| Location | 100 N Mario Capecchi Dr Ste 4400, Salt Lake City, Utah |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1750951984 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 231H00000X | Audiologist | 12359815-4101 (Utah) | Primary |
| Provider Name | Ihc Health Services Inc |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1629260880 PECOS PAC ID: 1850209420 Enrollment ID: O20031105000079 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Nicole Diebag, AUD 100 N Mario Capecchi Dr Ste 4400, Salt Lake City, UT 84113-1103 Ph: () - | Dr Nicole Diebag, AUD 100 N Mario Capecchi Dr Ste 4400, Salt Lake City, UT 84113-1103 Ph: (801) 662-3277 |
Cailey Mortensen, AUD Audiologist Medicare: Medicare Enrolled Practice Location: 417 S Wakara Way Ste 1112, Salt Lake City, UT 84108 Phone: 801-581-3506 | |
Kevin Glenn Baird, AUD. Audiologist Medicare: Medicare Enrolled Practice Location: Lds Hospital Hearing Services, 8th Ave And C Street, Salt Lake City, UT 84143 Phone: 801-408-3125 Fax: 801-408-1571 | |
Dr. Joshua C Luekenga, AUD Audiologist Medicare: Accepting Medicare Assignments Practice Location: 1255 E 3900 S Ste 106c, Salt Lake City, UT 84124 Phone: 801-268-3277 Fax: 801-268-3288 | |
Advanced Hearing Center Inc Audiologist Medicare: Not Enrolled in Medicare Practice Location: 1137 East 2100 South, Advanced Hearing Center Inc, Salt Lake City, UT 84106 Phone: 801-486-9309 Fax: 801-606-2901 | |
Dr. Terry E. Foust, AU. D. Audiologist Medicare: Not Enrolled in Medicare Practice Location: 36 S State St, Salt Lake City, UT 84111 Phone: 801-442-3029 Fax: 801-442-3826 | |
Quinlin T Card, AUD Audiologist Medicare: Medicare Enrolled Practice Location: 5872 S 900 E, Ste 175, Salt Lake City, UT 84121 Phone: 801-268-3277 Fax: 801-268-3288 | |
Audiology Associates Of Salt Lake City, Inc. Audiologist Medicare: Not Enrolled in Medicare Practice Location: 1377 E 3900 S, Ste 201, Salt Lake City, UT 84124 Phone: 801-272-1232 Fax: 801-272-1238 |