| Great Lakes Bay Hearing Llc | |
|
112 W Wackerly St, Midland, MI 48640-7367 | |
| (989) 486-1457 | |
| (989) 486-1479 |
| Full Name | Great Lakes Bay Hearing Llc |
|---|---|
| Type | Facility |
| Speciality | Audiologist |
| Location | 112 W Wackerly St, Midland, Michigan |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1265159545 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 231H00000X | Audiologist | (* (Not Available)) | Primary |
| Provider Name | Nicole Hacker |
|---|---|
| Provider Type | Practitioner - Qualified Audiologist |
| Provider Identifiers | NPI Number: 1720015738 PECOS PAC ID: 1052389343 Enrollment ID: I20110607000314 |
| Provider Name | Whitney Nicole Jacks |
|---|---|
| Provider Type | Practitioner - Qualified Audiologist |
| Provider Identifiers | NPI Number: 1134846918 PECOS PAC ID: 8224406368 Enrollment ID: I20221122001264 |
| Mailing Address | Practice Location Address |
|---|---|
| Great Lakes Bay Hearing Llc 112 W Wackerly St, Midland, MI 48640-7367 Ph: (989) 486-1457 | Great Lakes Bay Hearing Llc 112 W Wackerly St, Midland, MI 48640-7367 Ph: (989) 486-1457 |
Whitney Nicole Jacks, AUD Audiologist Medicare: Medicare Enrolled Practice Location: 112 W Wackerly St, Midland, MI 48640 Phone: 989-486-1457 Fax: 989-486-1479 | |
Dr. Amber Katelan Tilley, AU.D. Audiologist Medicare: Not Enrolled in Medicare Practice Location: 328 W Wackerly St, Midland, MI 48640 Phone: 989-839-8230 | |
Midmichigan Audiology Services Inc Audiologist Medicare: Medicare Enrolled Practice Location: 2520 Mccandless Dr, Midland, MI 48640 Phone: 989-839-6201 Fax: 989-839-6202 | |
Dr. Nicole L Hacker, AU.D., PH.D. Audiologist Medicare: Medicare Enrolled Practice Location: 112 W Wackerly St Ste 1, Midland, MI 48640 Phone: 989-486-1457 | |
Rachel Leblanc, AU.D, CCC-A Audiologist Medicare: Accepting Medicare Assignments Practice Location: 801 Joe Mann Blvd Ste H, Midland, MI 48642 Phone: 989-794-5404 Fax: 989-835-8720 | |
Dr. Debra L Wall, AUD Audiologist Medicare: Accepting Medicare Assignments Practice Location: 1504 Harcrest Dr, Suite 3, Midland, MI 48640 Phone: 989-835-1219 Fax: 989-835-7198 |