Dr Stephanie Broom Nelson, AUD | |
220 E Ryder St, Litchfield, IL 62056-2033 | |
(217) 324-2433 | |
(217) 324-3377 |
Full Name | Dr Stephanie Broom Nelson |
---|---|
Gender | Female |
Speciality | Audiologist |
Location | 220 E Ryder St, Litchfield, Illinois |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1396898466 | NPI | - | NPPES |
0006884001 | Other | IL | BLUE CROSS BLUE SHIELD IL |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
231H00000X | Audiologist | (Illinois) | Primary |
Provider Name | Nelson Audiology Ltd |
---|---|
Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1124172820 PECOS PAC ID: 8224044227 Enrollment ID: O20060228000764 |
Mailing Address | Practice Location Address |
---|---|
Dr Stephanie Broom Nelson, AUD 220 E Ryder St, Litchfield, IL 62056-2033 Ph: (217) 324-2433 | Dr Stephanie Broom Nelson, AUD 220 E Ryder St, Litchfield, IL 62056-2033 Ph: (217) 324-2433 |
Nelson Audiology, Ltd Audiologist Medicare: Medicare Enrolled Practice Location: 220 E Ryder St, Litchfield, IL 62056 Phone: 217-324-2433 Fax: 217-324-3377 | |
Nelson Audiology Pllc Audiologist Medicare: Medicare Enrolled Practice Location: 220 E Ryder St, Litchfield, IL 62056 Phone: 217-324-2433 Fax: 217-324-3377 | |
Mrs. Deanna Marie Boston, AU.D. Audiologist Medicare: May Accept Medicare Assignments Practice Location: 220 E Ryder St, Litchfield, IL 62056 Phone: 217-324-2433 Fax: 217-324-3377 |