Dr Sara Michelle Bodack, AUD | |
2525 Ne 139th St Ste 230, Vancouver, WA 98686-2719 | |
(360) 882-2778 | |
(360) 604-1673 |
Full Name | Dr Sara Michelle Bodack |
---|---|
Gender | Female |
Speciality | Qualified Audiologist |
Experience | 15 Years |
Location | 2525 Ne 139th St Ste 230, Vancouver, Washington |
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 |
---|---|---|---|
1356573356 | NPI | - | NPPES |
P008004030 | Other | TX | RAILROAD |
2138409 | Medicaid | WA | |
208820501 | Medicaid | TX |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
231H00000X | Audiologist | 80250 (Texas) | Secondary |
231H00000X | Audiologist | LD60953985 (Washington) | Primary |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
The Vancouver Clinic Inc Ps | 3173436490 | 471 |
Provider Name | The Vancouver Clinic Inc Ps |
---|---|
Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1992759427 PECOS PAC ID: 3173436490 Enrollment ID: O20031111000793 |
Mailing Address | Practice Location Address |
---|---|
Dr Sara Michelle Bodack, AUD Po Box 4825, Portland, OR 97208-4825 Ph: (360) 882-2778 | Dr Sara Michelle Bodack, AUD 2525 Ne 139th St Ste 230, Vancouver, WA 98686-2719 Ph: (360) 882-2778 |
Mr. Alamander Hicks, PHD Audiologist Medicare: Not Enrolled in Medicare Practice Location: 505 Ne 87th Ave, Suite 150, Vancouver, WA 98664 Phone: 360-892-9367 Fax: 360-253-3801 | |
Dr. Kalani Jane Cox, AU.D. Audiologist Medicare: Not Enrolled in Medicare Practice Location: 611 Grand Blvd, Vancouver, WA 98661 Phone: 360-418-4350 Fax: 360-418-4298 | |
Dr. Christopher Kyle Cox, AU.D. Audiologist Medicare: Medicare Enrolled Practice Location: 11201 Ne 9th St, Ste 300, Vancouver, WA 98684 Phone: 971-333-1179 | |
Christina Reyes-fimbres, AUD Audiologist Medicare: Not Enrolled in Medicare Practice Location: 718 Ne 87th Ave Ste 102, Vancouver, WA 98664 Phone: 360-488-2918 | |
Dr. Christopher Lawson, Audiologist Medicare: Medicare Enrolled Practice Location: 16209 Se Mcgillivray Blvd Ste M, Vancouver, WA 98683 Phone: 360-892-3445 Fax: 360-213-2044 | |
Audiology Clinic, Inc. Audiologist Medicare: Not Enrolled in Medicare Practice Location: 505 Ne 87th Ave, Suite 150, Vancouver, WA 98664 Phone: 360-892-9367 Fax: 360-253-3801 | |
Luna Family Hearing Audiologist Medicare: Not Enrolled in Medicare Practice Location: 11516 Se Mill Plain Blvd, Suite J-2, Vancouver, WA 98684 Phone: 360-882-8027 Fax: 360-882-8030 |